,,ii #aai? ,,congress #b;d ,session ,s4 #eacd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bg1 #bjbf,mr4 ,m>key 7= himself1 ,ms4 ,w>r51 ,mr4 ,s&]s1 ,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 e/abli% a ,gre5 ,new ,deal = ,heal? 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 title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,gre5 ,new ,deal = ,heal? ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,def9itions4,sec4 #c4 ,f9d+s & s5se ( ,congress on heal? & climate *ange4,,title ,i--,:ole-(-gov]nm5t approach,sec4 #aja4 ,def9itions4,sec4 #ajb4 ,(fice ( ,climate ,*ange & ,heal? ,equity2 national /rategic action plan4,sec4 #ajc4 ,advisory bo>d4,sec4 #ajd4 ,climate *ange heal? protection & promotion reports4,sec4 #aje4 ,au?orization ( appropriations4,,title ,,ii--,protect+ ess5tial heal? c>e access,sec4 #bja4 ,ma9t5ance ( heal? c>e access relat+ to hospital discont9uation ( s]vices or closure4,sec4 #bjb4 ,emp[]+ community heal? 9 environm5tal ju/ice communities4,,title ,,iii--,gre5 & resili5t heal? c>e infrastructure,sec4 #cja4 ,gre5 ,hill-,burton funds = climate-ready m$ical facilities4,sec4 #cjb4 ,plann+ & ,evaluation ,grant ,program4,,title ,,iv--,heal? c>e sector decarbonization,sec4 #dja4 ,(fice ( ,su/a9ability & ,environm5tal ,impact4,sec4 #djb4 ,climate risk disclosure = m$ical supplies4,sec4 #djc4 ,gre5 heal? c>e manufactur+4,,title ,v--,a heal? work=ce to tackle ! climate crisis,sec4 #eja4 ,education & tra9+ relat+ to heal? risks associat$ ) climate *ange4,sec4 #ejb4 ,build+ a community heal? work=ce = ! climate crisis4,sec4 #ejc4 ,safegu>d+ ess5tial heal? c>e work]s4,,title ,,vi--,safe1 /rong1 & resili5t communities,subtitle ,a--,emp[]+ resili5t community m5tal health,sec4 #fja4 ,grants = resili5t community m5tal heal?4,subtitle ,b--,und]/&+ & prev5t+ heat risk,sec4 #faa4 ,def9itions4,sec4 #fab4 ,/udy on extreme heat in=mation & response4,sec4 #fac4 ,f9ancial assi/ance = rese>* & resili5ce 9 address+ extreme heat risks4,sec4 #fad4 ,au?orization ( appropriations4,subtitle ,c--,home resili5cy = m$ical needs,sec4 #fba4 ,m$ic>e cov]age ( m$ically necess>y home resili5cy s]vices4,,title ,,vii--,rese>* & innovation = climate & health,sec4 #gja4 ,rese>* & innovation = climate & heal?4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,environm5tal ju/ice community ,! t]m environm5tal ju/ice community means a community ) significant repres5tation ( communities ( color1 l[-income communities1 or ,tribal & ,indig5\s communities t exp]i5ces1 or is at risk ( exp]i5c+1 high] or m adv]se human heal? or environm5tal effects4 7#b7 ,individual disproportionately affect$ by climate *ange ,! t]m individual disproportionately affect$ by climate *ange means an individual t may face elevat$ m5tal & physical heal? risks due to climate *ange bas$ on #b or m ( ! foll[+ factors3 7,a7 ,age "u #e ye>s old or ov] #fe ye>s old4 7,b7 ,race & e?nicity1 & exp]i5ce ( racial bias4 7,c7 ,sex1 g5d]1 & g5d] m9ority /atus4 7,d7 ,be+ ( reproductive age4 7,e7 ,exposure to environm5tal heal? risks due to liv+ conditions or location1 includ+ curr5t or pa/ exp]i5ce ( homelessness4 7,f7 ,occupation or exposure to occupational haz>ds4 7,g7 ,h\sehold income4 7,h7 ,disability4 7,i7 ,co-morbidities4 7,j7 ,curr5t or pa/ exposure to p]sonal or sy/emic trauma1 includ+ natural disa/]s4 7,k7 ,immigration /atus4 7,l7 ,language isolation4 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 #c4 ,f9d+s & s5se ( ,congress on heal? & climate *ange 7a7 ,f9d+s ,congress f9ds t1 accord+ to ! assessm5t ( ! ,unit$ ,/ates ,global ,*ange ,rese>* ,program entitl$ ,! ,impacts ( ,climate ,*ange on ,human ,heal? 9 ! ,unit$ ,/ates3 ,a ,sci5tific ,assessm5t & dat$ #bjaf-- 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 describ$ 9 p>agraph 7#b7 endang] our heal? by affect+-- 7,a7 our access to c>e1 food1 & wat] s\rces2 7,b7 ! air we brea!2 7,c7 ! wea!r we exp]i5ce2 & 7,d7 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 poses ?reats to ! ,unit$ ,/ates & globally ?r\gh its impacts on society1 ! economy1 ! physical environm5t1 & physical & m5tal heal?2 7#b7 climate *ange heal? ?reats are gr[+ 9 scale & sev]ity2 7#c7 climate *ange disproportionately affects individuals 9 ! ,unit$ ,/ates :o are economically disadvantag$1 belong to communities ( color1 or h o!r social & heal? vuln]abilities2 7#d7 ! heal? c>e sector acc\nts = #h4e p]c5t ( ,unit$ ,/ates emissions1 fur!r wors5+ ! ov]all heal? impacts ( climate *ange2 & 7#e7 ! ,f$]al ,gov]nm5t1 work+ ) int]national1 ,/ate1 ,tribal1 & local gov]nm5ts1 nongov]nm5tal organizations1 bus9esses1 & individuals1 %\ld use all practicable means & measures-- 7,a7 to deploy a :ole-(-gov]nm5t & :ole-(-heal? approa* to protect our collective heal? f ! impacts ( climate *ange & to mitigate environm5tal heal? impacts f heal? sector op]ations2 7,b7 to build a j heal? c>e ecosy/em :]e all ,am]icans h access to dignifi$1 high-quality c>e 9 _! communities2 7,c7 to ensure ! heal? c>e sy/em is resili5t to extreme wea!r & c cont9ue to provide c>e be=e1 dur+1 & aft] crises2 7,d7 to lead ! heal? sector to dec>bonize its facilities & op]ations 9 an equitable & j mann]2 7,e7 to emp[] a ?riv+ heal? work=ce ) good1 high-wage union jobs & to recognize ! value ( all ( ! ess5tial work]s t enable high-quality heal? c>e2 & 7,f7 to inve/ 91 emp[]1 & build safe1 /rong1 & resili5t communities4 ,i ,:ole-(-gov]nm5t approa* #aja4 ,def9itions ,9 ?is title3 7#a7 ,director ,! t]m ,director means ! ,director ( ! ,(fice4 7#b7 ,national /rategic action plan ,! t]m national /rategic action plan means ! national /rategic action plan publi%$ pursuant to section #ajb7;b77#a74 7#c7 ,(fice ,! t]m ,(fice means ! ,(fice ( ,climate ,*ange & ,heal? ,equity e/abli%$ by section #ajb7;a77#a74 7#d7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 #ajb4 ,(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-- 7i7 %all be ! head ( ! ,(fice2 & 7ii7 may report to ! ,assi/ant ,secret>y = ,heal?4 7#b7 ,activities ,! duties ( ! ,(fice %all be to address priority heal? actions relat+ to ! heal? impacts ( climate *ange1 includ+ by do+ ea* ( ! foll[+3 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? ?reats4 7,c7 ,s]ve z a cr$ible s\rce ( in=mation on ! physical1 m5tal1 & behavioral heal? consequ5ces ( climate *ange4 7,d7 ,align ,f$]al ef=ts to deploy climate-consci\s human s]vices & direct s]vices to support & protect populations compos$ ( individuals disproportionately affect$ by climate *ange4 7,e7 ,create & di/ribute tools & res\rces to support climate resili5ce = ! heal? sector1 community-bas$ organizations1 & individuals4 7,f7 ,create & di/ribute tools & res\rces to support heal? sector ef=ts to track & decrease gre5h\se gas emissions4 7,g7 ,lead ef=ts to r$uce ! c>bon footpr9t & environm5tal impacts ( ! heal? sector4 7,h7 ,c>ry out o!r activities det]m9$ appropriate by ! ,secret>y4 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 ! ,national ,environm5tal ,ju/ice ,advisory ,c\ncil1 ! heads ( o!r appropriate ,f$]al ag5cies1 ,tribal gov]nm5ts1 & ,/ate & local gov]nm5t (ficials2 & 7,b7 provide mean+ful opportunity = engagem5t1 comm5t1 & consultation ) relevant public /akehold]s1 p>ticul>ly repres5tatives ( populations compos$ ( individuals disproportionately affect$ by climate *ange1 environm5tal ju/ice 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 climate *ange1 includ+-- 7,a7 id5tify+1 prioritiz+1 & engag+ communities & populations :o are disproportionately affect$ by 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 ,tribes1 & develop+ c\ntries2 7,l7 address+ ! impacts ( fossil fuel pollution & 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 & communities compos$ ( individuals 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 title & 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 title1 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 #ajc4 ,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 ! dome/ic & int]national 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 ( issu+ ! national /rategic action plan & conduct+ ! climate & heal? program2 & 7#c7 submit a report to ,congress on its activities & recomm5dations n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act & n lat] ?an e ye> !reaft]4 7d7 ,support ,! ,secret>y %all provide f9ancial & adm9i/rative support to ! bo>d4 #ajd4 ,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$ic9e1 "u :i* su* ,national ,academies w prep>e p]iodic reports to aid public heal? & heal? c>e pr(essionals 9 prep>+ = & respond+ to ! adv]se heal? effects ( climate *ange t-- 7#a7 review sci5tific developm5ts on heal? impacts & heal? disp>ities ( climate *ange2 7#b7 evaluate ! measurable impacts ( activities und]tak5 at ! directive ( ! national /rategic action plan2 & 7#c7 recomm5d *anges to ! national /rategic action plan & climate & heal? program4 7b7 ,submission ,! agreem5t "u subsection 7a7 %all require a report to be submitt$ to ,congress & ! ,secret>y & made publicly available n lat] ?an #a ye> aft] ! fir/ publication ( ! national /rategic action plan1 & e #d ye>s !reaft]4 #aje4 ,au?orization ( appropriations 7a7 ,(fice ( climate *ange & heal? equity ,!re is au?oriz$ to be appropriat$ to ! ,secret>y to c>ry out section #ajb7;a7 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcc4 7b7 ,national /rategic action plan ,!re is au?oriz$ to be appropriat$ to ! ,secret>y to c>ry out section #ajb7;b7 #b1jjj1jjj = fiscal ye> #bjbg1 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 #ajc7;c7 #ejj1jjj = fiscal ye> #bjbg1 to rema9 available until exp5d$4 ,,ii ,protect+ ess5tial heal? c>e access #bja4 ,ma9t5ance ( heal? c>e access relat+ to hospital discont9uation ( s]vices or closure ,section #ahff ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 9 subp>agraph 7,x71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,y77ii77,v71 by /rik+ ! p]iod & ins]t+ 1 &2 & 7,c7 by ins]t+ aft] subp>agraph 7,y7 ! foll[+ new subp>agraph3 7,z7 beg9n+ #fj days aft] ! date ( ! enactm5t ( ?is subp>agraph1 9 ! case ( a hospital1 to comply ) ! requirem5ts ( subsection 7l7 7relat+ to discont9uation ( s]vices or closure74 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7l7 ,requirem5ts = hospitals relat+ to discont9uation ( s]vices or closure 7#a7 ,requirem5ts 7,a7 ,9 g5]al ,= purposes ( subsection 7a77#a77,z71 except z provid$ 9 subp>agraph 7,b71 ! requirem5ts describ$ 9 ?is subsection are t a hospital-- 7i7 notify ! ,secret>y1 9 accordance ) p>agraph 7#b71 n less ?an #ij days prior to ! discont9uation ( s]vices or full hospital closure2 7ii7 prohibit ! discont9uation ( ess5tial s]vices 7z def9$ 9 p>agraph 7#f77 dur+ ! notification p]iod 7z def9$ 9 su* p>agraph7 unless !re is a cle> h>m pos$ to pati5t or employee heal? or safety 9 ! hospital cont9u+ to furni% su* s]vices2 7iii7 respond to any inquiries by ! ,secret>y relat+ to ! implem5tation ( ?is subsection1 includ+ ! det]m9ation ( ess5tial s]vices "u p>agraph 7#f77;,c72 & 7iv7 if applicable-- 7,i7 submit a mitigation plan & relat$ in=mation z describ$ 9 p>agraph 7#c72 & 7,,ii7 p>ticipate 9 ! public comm5t & review process 7includ+1 if applicable1 ! alt]native mitigation plan7 describ$ 9 p>agraph 7#d74 7,b7 ,application 9 case ( cata/rophic ev5ts ,9 ! case :]e a discont9uation ( s]vices or closure ( a hospital is due to an un=ese5 cata/rophic ev5t 7z def9$ by ! ,secret>y71 ! requirem5ts describ$ 9 subp>agraph 7,a7 %all apply1 except-- 7i7 ! hospital %all provide ! notification "u clause 7i7 ( su* subp>agraph n lat] ?an #cj days aft] ! cata/rophic ev5t or z soon z feasible z det]m9$ by ! ,secret>y2 & 7ii7 clause 7ii7 ( su* subp>agraph 7relat+ to prohibit+ ! discont9uation ( s]vices7 %all n apply4 7#b7 ,notification in=mation ,= purposes ( p>agraph 7#a77;,a77i71 ! notification "u su* p>agraph %all include ! foll[+ in=mation ) respect to a hospital3 7,a7 ,discont9uation ( s]vices ,9 ! case :]e ! hospital is discont9u+ s]vices 7)\t full hospital closure73 7i7 ,! s]vices t w be discont9u$ & numb] ( hospital b$s impact$4 7ii7 ,! numb] ( individuals furni%$ su* s]vices annually & a breakd[n ( ! type ( insurance us$ by su* individuals = su* s]vices4 7iii7 ,! numb] ( impact$ employees & :at labor organization repres5ts !m 7& ! contact in=mation = su* organization74 7iv7 ,! names & addresses ( any organiz$ heal? c>e coalitions & community gr\ps t repres5t ! communities impact$ by ! discont9uation ( su* s]vices4 7v7 ,alt]native provid]s ( su* s]vices1 includ+ provid] type1 contact in=mation1 & di/ance & transportation "t by c> & public transit f ! hospital4 7,b7 ,full hospital closure ,9 ! case ( full hospital closure3 7i7 ,hospital own]%ip entities4 7ii7 ,! full ext5t ( s]vices t w no long] be furni%$ by ! hospital4 7iii7 ,! numb] ( individuals furni%$ s]vices annually by ! hospital1 a description ( ! s]vices furni%$1 & a breakd[n ( ! type ( insurance type us$ by su* individuals = su* s]vices4 7iv7 ,! numb] ( impact$ employees &1 if applicable1 :at labor organizations repres5t !m 7& ! contact in=mation = ea* su* organization74 7v7 ,! names & addresses ( any organiz$ heal? c>e coalitions & community gr\ps t repres5t ! communities impact$ by ! closure4 7vi7 ,alt]native provid]s1 includ+ provid] type1 contact in=mation1 & di/ance & transportation "t by c> & public transit f ! hospital4 7vii7 ,/eps tak5 prior to ! decision to close 9 ord] to avoid closure4 7viii7 ,di/ribution ( liquidation proce$s 7ca% or assets7 or any paym5ts 7ca% or assets7 made to employees1 own]s1 or contractors relat$ to ! closure4 7#c7 ,submission ( mitigation plan & relat$ in=mation = ess5tial s]vices 7,a7 ,notification by ,secret>y ,if ! ,secret>y det]m9es t ! discont9uation ( s]vices or closure ( an applicable hospital w\ld negatively impact access to ess5tial s]vices1 ! ,secret>y %all notify ! applicable hospital ( su* det]m9ation4 7,b7 ,submission ( mitigation plan & relat$ in=mation ,if an applicable hospital receives a notification "u subp>agraph 7,a71 ! applicable hospital %all1 n lat] ?an #ae days aft] receiv+ su* notification1 submit to ! ,secret>y-- 7i7 a plan to-- 7,i7 pres]ve access to ess5tial s]vices = impact$ communities ?r\gh p>tn]%ips1 commitm5ts f surr\nd+ facilities1 transportation plan access1 & prep>ation = surge response2 & 7,,ii7 support employees 9 transition+ to new positions )9 heal? c>e2 7ii7 in=mation on work=ce & public engagem5t to ensure aw>5ess ( ! discont9uation ( s]vices or closure2 & 7iii7 a description ( pot5tial alt]natives to ! discont9uation ( s]vices or closure t ! hospital consid]$ & an explanation ( :y ^? alt]natives are n a viable option4 7,c7 ,public availability ,! ,secret>y %all make a mitigation plan & relat$ in=mation submitt$ by an applicable hospital "u ?is p>agraph available to ! public on ! int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7#d7 ,public comm5t & review process2 alt]native mitigation plan 7,a7 ,public comm5t p]iod 7i7 ,9 g5]al ,! ,secret>y %all provide a public comm5t p]iod ( n less ?an #de days ) ! opportunity to submit writt5 comm5ts reg>d+ ! impact ( ! pot5tial discont9uation ( s]vices or closure ( an applicable hospital4 7ii7 ,notice ,notice ( ! opportunity to submit comm5ts %all be publi%$ 9 ! ,f$]al ,regi/] & di/ribut$ to-- 7,i7 provid]s ( s]vices & suppli]s t may be impact$ by ! discont9uation ( s]vices or closure ( ! applicable hospital2 7,,ii7 any labor organization t repres5ts any subdivision ( employees ( ! applicable hospital2 7,,iii7 organiz$ heal? c>e coalitions & community gr\ps t repres5t ! communities impact$ by ! discont9uation ( s]vices or closure2 7,,iv7 ! ,/ate heal? ag5cy2 & 7,v7 ! local dep>tm5t ( public heal?4 7,b7 ,alt]native mitigation plan 7i7 ,9 g5]al ,if1 aft] review+ ! mitigation plan submitt$ by an applicable hospital "u p>agraph 7#c7 & ! comm5ts submitt$ dur+ ! public comm5t p]iod "u subp>agraph 7,a7 ) respect to ! discont9uation ( s]vices or closure ( ! applicable hospital1 ! ,secret>y f9ds t ! discont9uation ( s]vices or closure ( ! applicable hospital w\ld h a significant impact on access to ess5tial s]vices1 ! ,secret>y %all "w ) ! applicable hospital or o!r provid]s ( s]vices & suppli]s 9 ! area1 z appropriate1 to develop & implem5t an alt]native plan to ! plan submitt$ by ! applicable hospital "u p>agraph 7#c7 7ref]r$ to 9 ?is subsection z ! alt]native mitigation plan7 9 ord] to ensure cont9u$ access to ess5tial s]vices1 :i* may include an agreem5t to delay ! discont9uation ( s]vices or closure ( ! applicable hospital until ! alt]native mitigation plan is complete4 7ii7 ,te*nical assi/ance ,an alt]native mitigation plan "u clause 7i7 may include te*nical assi/ance or in=mation on available fund+ me*anisms to support ! furni%+ ( ess5tial s]vices4 7iii7 ,collaboration ,! ,secret>y %\ld1 to ! ext5t practicable1 collaborate ) ,/ate & municipal gov]nm5t (ficials 9 ! developm5t ( an alt]native mitigation plan "u clause 7i74 7iv7 ,public availability ,! ,secret>y %all make any in=mation submitt$ & ! alt]native mitigation plan develop$ "u ?is p>agraph available to ! public on ! int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7,c7 ,implem5tation ,! ,secret>y %all promulgate regulations to detail ! requir$ response "t by an applicable hospital & ! spe$ ( ! review process "u ?is p>agraph 9 ord] to ensure t su* process c be complet$ ) respect to an applicable hospital prior to ! propos$ s]vice discont9uation date or closure date ( ! applicable hospital4 7,d7 ,prohibition ,9 ! case :]e ! ,secret>y f9ds t a hospital has violat$ ! requirem5ts ( ?is subsection1 ! ,secret>y may prohibit ! hospital & any hospital "u ! same hospital own]%ip entity f be+ eligible to enroll or re5roll "u ! program "u ?is title "u section #ahff7;j7 until ! e>li] (-- 7i7 ! date t is #c ye>s aft] ! date on :i* ! hospital discont9ues s]vices or closes2 7ii7 ! date on :i* ! ,secret>y det]m9es ess5tial heal? s]vices t 7 negatively impact$ by ! discont9uation or closure h be5 re/or$2 or 7iii7 su* "t z ! ,secret>y is satisfi$ ) ! mitigation plan submitt$ by ! hospital "u p>agraph 7#c7 or ! alt]native mitigation plan "u ?is p>agraph4 7#e7 ,annual reports ,! ,secret>y %all submit an annual report to ,congress on ! discont9uation ( s]vices & full closure ( hospitals4 ,ea* report submitt$ "u ! prec$+ s5t5ce %all include-- 7,a7 a description ( tr5ds 9 ! discont9uation ( s]vices & closures ( hospitals1 includ+ hospital own]%ip type1 geographic location1 types ( s]vices furni%$1 demographic s]v$1 & insurance type2 7,b7 an analysis ( ! impact ( ! discont9uation ( s]vices & closures on heal? c>e access & ability to meet surge dem& due to em]g5cy 7su* z a p&emic or climate disa/]72 7,c7 recomm5dations = su* adm9i/rative or legislative *anges z ! ,secret>y det]m9es appropriate to pres]ve access to ess5tial s]vices nationwide4 7#f7 ,def9itions ,9 ?is subsection3 7,a7 ,applicable hospital ,! t]m applicable hospital means a hospital t submits a notification "u p>agraph 7#a77;,a77i7 ( a discont9uation ( s]vices or full hospital closure4 7,b7 ,discont9uation ,! t]m discont9uation may include any r$uction or discont9uation ( s]vices furni%$ by an applicable hospital1 includ+ ^? t occur z "p ( a m]g] or acquisition agreem5t4 7,c7 ,ess5tial s]vices ,! t]m ess5tial s]vices means1 ) respect to an applicable hospital1 s]vices t are necess>y = pres]v+ heal? c>e access 7z det]m9$ by ! ,secret>y71 includ+ s]vices = :i* ! ,secret>y det]m9es-- 7i7 !re are no equival5t s]vices available )9 ! same travel "t2 7ii7 t loss ( ! s]vices w\ld result 9 mean+ful r$uctions 9 surge capacity t w negatively impact access to s]vices2 7iii7 t loss ( ! s]vices w\ld limit heal? c>e access = specific demographics ( individuals bas$ on sex1 sexuality1 race1 nationality1 age1 or disability /atus2 7iv7 t loss ( ! s]vices w\ld h a mean+ful impact on ! ability ( heal? sy/ems to respond to impacts ( climate *ange2 or 7v7 !re is a heal? or heal? c>e-relat$ em]g5cy decl>ation /atus applicable to ! surr\nd+ geographical area ( ! hospital on ! date on :i* ! hospital submits notification "u p>agraph 7#a77;,a77i7 ( a discont9uation ( s]vices or full hospital closure4 7,d7 ,notification p]iod ,! t]m notification p]iod means1 ) respect to an applicable hospital1 ! p]iod beg9n+ on ! date on :i* ! hospital submits notification "u p>agraph 7#a77;,a77i7 ( a discont9uation ( s]vices or full hospital closure & end+ on ! date ( su* discont9uation ( s]vices or closure4 7#g7 ,no preemption ( ,/ate law ,no?+ 9 subsection 7a77#a77,z7 or ?is subsection %all be con/ru$ to limit any rights or rem$ies "u ,/ate or local law relat+ to protect+ access to ess5tial s]vices or review+ propos$ hospital closures or r$uction ( s]vices4 4 #bjb4 ,emp[]+ community heal? 9 environm5tal ju/ice communities ,section #ajejc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #bed;b-#b7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,j71 by /rik+ & at ! end2 & 7ii7 by add+ at ! end ! foll[+3 7,l7 #acj1jjj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbg ?r\gh #bjca2 & 2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,k71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,l71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,m7 #b1jjj1jjj1jjj = ea* ( fiscals ye>s #bjbg ?r\gh #bjca4 2 & 7#b7 by add+ at ! end ! foll[+3 7f7 ,environm5tal ju/ice communities ,! ,secret>y %all ensure t n less ?an #ej p]c5t ( ! am\nts appropriat$ "u subsection 7b7 on or aft] #bjbg are aw>d$ to entities = use ) respect to projects or sites locat$ 9 or s]v+ environm5tal ju/ice communities 7z def9$ 9 section #b ( ! ,gre5 ,new ,deal = ,heal? ,act74 7g7 ,prohibition ,no am\nts made available "u ?is section may be us$ = any activity t is subject to ! report+ requirem5ts set =? 9 section #bjc7;a7 ( ! ,labor-,managem5t ,report+ & ,disclosure ,act ( #aiei 7#bi ,u4,s4,c4 #dcc7;a774 4 ,,iii ,gre5 & resili5t heal? c>e infra/ructure #cja4 ,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 & 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/ructure2 & 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> #bjbg1 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 deem$ to be complete = purposes ( section #cjb7;d77#b7 ( ! ,gre5 ,new ,deal = ,heal? ,act1 & ! application %all be deem$ to h be5 submitt$ = purposes ( consid]ation = a plann+ grant "u t section4 4 #cjb4 ,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 ,act71 & ! ,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> #bjbg1 to rema9 available until exp5d$4 ,,iv ,heal? c>e sector dec>bonization #dja4 ,(fice ( ,su/a9ability & ,environm5tal ,impact 7a7 ,e/abli%m5t ,!re is h]eby e/abli%$ 9 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices an ,(fice ( ,su/a9ability & ,environm5tal ,impact 79 ?is section ref]r$ to z ! ,(fice7 to prep>e ! heal? c>e sy/em = ! impacts ( climate *ange by support+ heal? c>e dec>bonization1 su/a9ability1 & environm5tal ef=ts & to ensure t ! heal? c>e sy/em m9imizes & mitigates its climate h>m :ile advanc+ pati5t heal? & safety4 7b7 ,priority goals ,! ,(fice %all-- 7#a7 collaborate ) ! ,(fice ( ,climate ,*ange & ,heal? ,equity1 ! ,environm5tal ,protection ,ag5cy1 & o!r int]ag5cy committees to support a :ole-(-gov]nm5t & :ole-(-heal? approa* to address+ ! climate crisis2 7#b7 develop & promulgate regulations t support climate-in=m$ c>e1 support heal? c>e dec>bonization & su/a9ability1 & mitigate ! environm5tal impacts ( ! heal? c>e sy/em ^u pati5ts1 communities1 & heal? c>e work]s2 7#c7 develop & promulgate regulations t support pati5t access to1 & cov]age (1 climate-in=m$ heal? c>e s]vices to prev5t & address ! heal? impacts ( climate *ange2 7#d7 conduct ov]sight ( heal? c>e sy/ems1 _! climate emissions1 & environm5tal h>ms & provide int]ag5cy te*nical assi/ance 9 rem$iat+ su* emissions & environm5tal h>ms2 & 7#e7 issue ,climate-,fri5dly heal? sy/em designations & accr$itations t id5tify heal? sy/ems t demon/rate commitm5t to1 & sub/antial evid5ce (1 r$uc+ emissions & environm5tal h>m :ile advanc+ heal? c>e quality & pati5t & work] safety4 7c7 ,director 7#a7 ,9 g5]al ,! ,(fice %all be head$ by a ,director1 to be kn[n z ! ,director ( ,su/a9ability & ,environm5tal ,impact1 :o %all be appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y74 7#b7 ,functions ,! ,director %all-- 7,a7 conv5e /akehold]s 7includ+ key heal? c>e /akehold]s7 = /rategic plann+ t[>ds ! priority goals ( ! ,(fice2 7,b7 advise ! ,secret>y & ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 9 matt]s ( su/a9ability & environm5tal impact & ! role ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 9 su/a9ability & environm5tal impact2 7,c7 collaborate ) academic exp]ts & community lead]s to und]/& & e/abli% be/ practices = dec>boniz+ heal? c>e op]ations2 & 7,d7 develop & evaluate ! ,(fice's /rategy to tackle heal? c>e dec>bonization & su/a9ability & mitigat+ environm5tal impacts )9 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7d7 ,report to ,congress ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 & e #b ye>s !reaft]1 ! ,secret>y %all submit to ,congress a ,heal? ,c>e ,su/a9ability & ,environm5tal ,impact ,report1 :i* %all be prep>$ by ! ,director ( ,su/a9ability & ,environm5tal ,impact1 ) appropriate assi/ance f o!r ag5cies 9 ! executive bran* ( ! ,f$]al ,gov]nm5t4 ,ea* su* report %all include ! foll[+3 7#a7 ,a summ>y ( int]ag5cy collaboration4 7#b7 ,a me?odology to designate & accr$it heal? sy/ems t a*ieve sub/antial r$uctions 9 emissions & environm5tal h>m z ,climate-,fri5dly heal? sy/ems4 7#c7 ,an inv5tory ( ,climate-,fri5dly designat$ heal? sy/ems1 _! /rategies1 *all5ges1 & be/ practices = su/a9ability & mitigat+ environm5tal impact1 & any significant effects ( ^! ef=ts on-- 7,a7 quality ( c>e2 7,b7 pati5t safety2 7,c7 safety ( heal? c>e work]s & heal? c>e facility work]s2 7,d7 heal? c>e co/s2 & 7,e7 environm5tal heal? & ov]all heal? ( ! community s]v$4 7#d7 ,an analysis ( ! demographics & climate vuln]ability ( pati5ts & types ( communities s]v$ by ,climate-,fri5dly heal? sy/ems4 7#e7 ,recomm5dations = actions by heal? sy/ems & = ,f$]al te*nical assi/ance & supportive res\rces = ! heal? sy/em to a*ieve sub/antial r$uctions 9 emissions & environm5tal h>m 9 ord] to atta9 ,climate-,fri5dly designation4 7#f7 ,a summ>y ( ov]sight ef=ts ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices reg>d+ emissions & environm5tal impacts & paym5t & cov]age impacts on climate *ange prep>$ness1 mitigation1 & response4 7#g7 ,recomm5dations = su* legislation & adm9i/ration action z ! ,secret>y det]m9es appropriate to regulate & promote heal? c>e su/a9ability1 dec>bonization1 & mitigate environm5tal impact )9 ! heal? c>e sy/em4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #b1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcf4 #djb4 ,climate risk disclosure = m$ical supplies ,sub*apt] ,a ( *apt] ,v ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cea et seq47 is am5d$ by add+ at ! end ! foll[+3 #ebd;,c4 ,climate risk disclosure = m$ical supplies 7a7 ,task =ce 7#a7 ,9 g5]al ,! ,secret>y1 9 coord9ation ) ! ,commission] & ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy1 %all e/abli% a task =ce = purposes ( develop+ a /rategy to e/abli% climate risk disclosure policies = manufactur]s ( drugs 7includ+ biological products7 & devices4 7#b7 ,duties ,! task =ce e/abli%$ "u p>agraph 7#a7 %all-- 7,a7 recomm5d a me?odology = drug & device manufactur]s to calculate ! emissions & climate risk due to cl9ical use ( ! drug or device1 factor+ 9 emissions f ! manufacture1 transport1 use1 process+1 reprocess+1 & wa/e relat+ to ! drug or device2 7,b7 recomm5d a policy & process = m&atory public disclosure ( emissions & climate risk relat+ to drugs & devices2 7,c7 recomm5d a policy = ov]sight ( disclosures to ensure accuracy & transp>5cy ( emissions report+ z describ$ 9 subp>agraph 7,b71 & to ensure t pati5t safety & necess>y access is ma9ta9$2 7,d7 develop me?ods to dissem9ate in=mation to cl9icians = l[ environm5tal impact options = cl9ically equival5t treatm5t options2 7,e7 develop sugge/ions = ! r$uction ( emissions by drug & device manufactur]s )\t h>m+ or risk+ pati5t safety2 & 7,f7 provide te*nical assi/ance & e/abli% p>tn]%ips to facilitate l[] emissions design & manufacture ( comp>able drugs & comp>able devices4 7#c7 ,memb]%ip ,! task =ce e/abli%$ "u p>agraph 7#a7 %all be compos$ ( ! foll[+3 7,a7 #c repres5tatives ( ! ,food & ,drug ,adm9i/ration1 appo9t$ by ! ,commission]4 7,b7 #c repres5tatives ( ! ,environm5tal ,protection ,ag5cy1 appo9t$ by ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy4 7,c7 #c repres5tatives ( ! ,(fice ( ,climate ,*ange & ,heal? ,equity ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 appo9t$ by ! ,secret>y4 7b7 ,regulations ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,gre5 ,new ,deal = ,heal? ,act1 ! ,secret>y %all promulgate regulations to-- 7#a7 e/abli% m&atory climate risk disclosure & transp>5cy policies = drugs & devices approv$1 lic5s$1 or cle>$ "u section #eje1 #eaj7k71 #eac7;f77#b71 or #eae ( ?is ,act or section #cea ( ! ,public ,heal? ,s]vice ,act2 & 7#b7 incorporate climate risk into policies relat$ to transp>5cy1 label+1 & o!r regulatory policies relat$ to drugs & devices1 bas$ on ! recomm5dations ( ! task =ce describ$ 9 subsection 7a74 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #d1jjj1jjj = fiscal ye> #bjbg1 to rema9 available until exp5d$4 4 #djc4 ,gre5 heal? c>e manufactur+ 7a7 ,9 g5]al ,!re is e/abli%$ a ,f$]al int]ag5cy work+ gr\p1 to be kn[n z ! ,c\ncil on ,gre5 ,heal? ,c>e ,manufactur+ 7ref]r$ to 9 ?is section z ! ,c\ncil74 7b7 ,memb]%ip ,! memb]%ip ( ! ,c\ncil %all consi/ (-- 7#a7 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 :o %all s]ve z ! ,*air2 7#b7 ! ,secret>y ( ,en]gy2 7#c7 ! ,secret>y ( ,transportation2 7#d7 ! ,secret>y ( ,labor2 7#e7 ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy2 7#f7 ! ,director ( ! ,(fice ( ,climate ,*ange & ,heal? ,equity2 7#g7 ! ,director ( ,su/a9ability & ,environm5tal ,impact2 7#h7 ! ,*air ( ! ,c\ncil on ,environm5tal ,quality2 7#i7 ! ,unit$ ,/ates ,trade ,repres5tative2 & 7#aj7 ! heads ( o!r ,f$]al ag5cies1 z det]m9$ necess>y by ! ,*air4 7c7 ,duties 7#a7 ,assessm5t & report 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,c\ncil %all conduct an assessm5t ( global & dome/ic m$ical supply *a9s1 includ+ an assessm5t (-- 7i7 ! environm5tal & climate impacts ( m$ical supply *a9s1 includ+-- 7,i7 emissions f ! production1 transportation1 & packag+ ( m$ical & ph>maceutical products2 7,,ii7 *emical & o!r environm5tal pollution2 7,,iii7 excessive en]gy consumption2 7,,iv7 negative ext]nalities relat+ to wa/e2 & 7,v7 any o!r environm5tal or climate impacts ! ,c\ncil det]m9es relevant2 7ii7 labor conditions = work]s 9 ! ,unit$ ,/ates & globally :o produce m$ical & ph>maceutical products consum$ by individuals resid+ 9 ! ,unit$ ,/ates1 includ+ ! degree to :i* su* work]s-- 7,i7 are ensur$ a protect$ "r to organize2 7,,ii7 are provid$ adequate workplace safety protections2 & 7,,iii7 are adequately comp5sat$2 7iii7 effici5cy & resili5cy ( processes "u m$ical supply *a9s1 includ+ ! ability ( m$ical supply *a9s to adapt to sudd5 %ifts 9 dem&1 includ+ %ifts 9 dem& )9 discrete geographic regions2 7iv7 ! reliance ( ! ,unit$ ,/ates on int]national supply *a9s = m$ical products1 includ+ in=mation ab\t :i* types ( m$ical products are prim>ily manufactur$ outside ( ! ,unit$ ,/ates1 & :]e su* products are manufactur$2 & 7v7 human rights abuses 9 manufactur+ ( m$ical & ph>maceutical products & s\rc+ ( ^? products1 includ+ abuses ( indig5\s rights & traditions4 7,b7 ,report ,on completion ( ! assessm5t conduct$ "u subp>agraph 7,a71 ! ,c\ncil %all submit to ,congress & make publicly available a report1 to be kn[n z ! ,gre5 ,heal? ,c>e ,manufactur+ ,report1 t describes ! f9d+s ( ! assessm5t4 7#b7 ,recomm5dations 7,a7 ,9 g5]al ,bas$ on ! f9d+s ( ! assessm5t conduct$ "u p>agraph 7#a77;,a71 ! ,c\ncil %all develop recomm5dations = regulations t w\ld support a m$ical supply *a9 t is-- 7i7 su/a9able2 7ii7 free ( gre5h\se gas emissions2 & 7iii7 bas$ 9 ! ,unit$ ,/ates4 7,b7 ,inclusions ,! propos$ regulations "u subp>agraph 7,a7 %all-- 7i7 support good labor conditions1 work] protections1 & employee rights to organize & collectively b>ga92 & 7ii7 ensure ! global trade competitiv5ess ( ! ,unit$ ,/ates1 includ+ by consid]+ ! comp>ative c>bon int5sity ( dome/ic & int]nationally manufactur$ ph>maceuticals & m$ical products4 7#c7 ,grant program ,bas$ on ! f9d+s ( ! assessm5t conduct$ "u p>agraph 7#a77;,a71 ! ,c\ncil %all develop recomm5dations = a grant program to be c>ri$ out by ! ,secret>y "u :i* ! ,secret>y w\ld make grants = m$ical manufactur+ to support ! developm5t & e/abli%m5t ( su/a9able & z]o-emission m$ical supply *a9s bas$ 9 ! ,unit$ ,/ates4 7d7 ,regulations 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all develop & promulgate regulations to support a m$ical supply *a9 t is-- 7,a7 su/a9able2 7,b7 free ( gre5h\se gas emissions2 & 7,c7 bas$ 9 ! ,unit$ ,/ates4 7#b7 ,requirem5t ,! ,secret>y %all develop ! regulations "u p>agraph 7#a7 bas$ on ! recomm5dations = regulations develop$ by ! ,c\ncil "u subsection 7c77#b74 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z are necess>y4 ,v ,a heal? work=ce to tackle ! climate crisis #eja4 ,education & tra9+ relat+ to heal? risks associat$ ) climate *ange ,"p ,d ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid et seq47 is am5d$ by ins]t+ aft] section #geg ! foll[+3 #geh4 ,education & tra9+ relat+ to heal? risks associat$ ) climate *ange 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ! ,gre5 ,new ,deal = ,heal? ,act1 ! ,secret>y %all e/abli% a competitive grant program to aw>d grants to heal? pr(essions s*ools to support ! developm5t & integration into su* s*ools ( education & tra9+ programs = id5tify+1 treat+1 & mitigat+ m5tal & physical heal? risks associat$ ) climate *ange = :ole populations & = individuals disproportionately affect$ by climate *ange4 7b7 ,application ,to be eligible = a grant "u ?is section1 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[ ! heal? pr(ession s*ool w engage ) frontl9e communities to climate *ange or environm5tal ju/ice communities1 & /akehold] organizations repres5t+ su* communities1 9 develop+ & implem5t+ ! education & tra9+ programs support$ by ! grant4 7#b7 ,h[ ! heal? pr(ession s*ool w engage ) individuals disproportionately affect$ by climate *ange1 & /akehold] organizations repres5t+ su* individuals1 9 develop+ & implem5t+ ! education & tra9+ programs support$ by ! grant4 7#c7 ,h[ ! 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 = individuals vuln]able to climate *ange4 7#d7 ,h[ ! heal? pr(ession s*ool w build inclusive c>e] opportunities & pa?ways to build up & exp& ! heal? c>e work=ce ready to address ! heal? burd5s ( climate *ange4 7c7 ,use ( funds ,a heal? pr(ession s*ool aw>d$ a grant "u ?is section %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 = individuals disproportionately affect$ by climate *ange1 ) consid]ation ( co-morbidities & socioeconomic risk factors4 7#b7 ,id5tify+ risks to reproductive heal? associat$ ) climate *ange = individuals disproportionately affect$ by climate *ange4 7#c7 ,h[ risks & comb9ations ( risks associat$ ) climate *ange affect individuals disproportionately affect$ by climate *ange & individuals ) ! int5t to become pregnant4 7#d7 ,racial & e?nic disp>ities 9 exposure to1 & ! effects (1 risks associat$ ) climate *ange = individuals disproportionately affect$ by climate *ange & individuals ) ! int5t to become pregnant4 7#e7 ,pati5t c\nsel+ & mitigation /rategies relat+ to risks associat$ ) climate *ange = bo? m5tal & physical heal? = individuals disproportionately affect$ by climate *ange4 7#f7 ,relevant s]vices & support = individuals disproportionately affect$ by climate *ange relat+ to risks associat$ ) climate *ange & /rategies = ensur+ t su* individuals h access to su* s]vices & support4 7#g7 ,implicit & explicit bias1 racism1 & discrim9ation4 7#h7 ,relat$ topics id5tifi$ by su* heal? pr(ession s*ool bas$ on ! engagem5t ( su* heal? pr(ession s*ool ) individuals vuln]able to climate *ange & /akehold] organizations repres5t+ su* individuals4 7d7 ,p>tn]%ips ,9 c>ry+ out activities ) grant funds1 a heal? pr(ession s*ool aw>d$ a grant "u ?is section may p>tn] ) "o or m ( ! foll[+3 7#a7 ,a ,/ate1 local1 or ,tribal public heal? dep>tm5t4 7#b7 ,a labor union organization repres5t+ work]s 9 heal? c>e sett+s4 7#c7 ,a heal? c>e pr(essional memb]%ip association4 7#d7 ,a pati5t advocacy organization4 7#e7 ,a community heal? c5t] or organization4 7#f7 ,a heal? pr(ession s*ool or o!r in/itution ( high] education1 :i* may be a heal? pr(ession s*ool4 7#g7 ,a public s*ool or s*ool di/rict4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to heal? pr(ession s*ools & p>tn]%ip organizations to assi/ application plann+ & prep>ation = s*ools & p>tn]%ips t tra9 individuals f1 & t s]ve1 m$ically und]s]v$ communities4 7f7 ,reports to secret>y 7#a7 ,annual report ,= ea* fiscal ye> dur+ :i* a heal? pr(ession s*ool receives grant funds "u ?is section1 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 receives grant funds "u ?is section1 ! 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 #f ye>s aft] ! date on :i* ! program is e/abli%$ "u subsection 7a71 ! ,secret>y %all submit to ,congress & publi% on ! public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report t includes ! foll[+3 7#a7 ,a summ>y ( ! reports submitt$ "u subsection 7e74 7#b7 ,recomm5dations to improve education & tra9+ programs at heal? pr(ession s*ools ) respect to id5tify+ & address+ risks associat$ ) climate *ange = individuals vuln]able to climate *ange4 7h7 ,def9itions ,9 ?is section3 7#a7 ,environm5tal ju/ice community ,! t]m environm5tal ju/ice community has ! mean+ giv5 su* t]m 9 section #b ( ! ,gre5 ,new ,deal = ,heal? ,act4 7#b7 ,heal? pr(ession s*ool ,! t]m heal? pr(ession s*ool means an accr$it$-- 7,a7 m$ical s*ool2 7,b7 s*ool ( nurs+2 7,c7 midwif]y program or o!r evid5ce-bas$ bir? c>e tra9+ program2 7,d7 physician assi/ant education program2 7,e7 s*ool ( psy*iatry1 psy*ology1 c\nsel+1 or social "w2 7,f7 c>e] & te*nical education heal? sci5ces program2 7,g7 public heal? program2 7,h7 community heal? work] tra9+ program2 7,i7 tea*+ hospital2 7,j7 resid5cy or fell[%ip program2 or 7,k7 o!r s*ool or program det]m9$ appropriate by ! ,secret>y4 7#c7 ,individual disproportionately affect$ by climate *ange ,! t]m individual disproportionately affect$ by climate *ange means an individual t may face elevat$ m5tal & physical heal? risks due to climate *ange bas$ on #b or m ( ! foll[+ factors3 7,a7 ,age "u #e ye>s old or ov] #fe ye>s old4 7,b7 ,race & e?nicity1 & exp]i5ce ( racial bias4 7,c7 ,sex1 g5d]1 & g5d] m9ority /atus4 7,d7 ,be+ ( reproductive age4 7,e7 ,exposure to environm5tal heal? risks due to liv+ conditions or location1 includ+ curr5t or pa/ exp]i5ce ( homelessness4 7,f7 ,occupation or exposure to occupational haz>ds4 7,g7 ,h\sehold income4 7,h7 ,disability4 7,i7 ,co-morbidities4 7,j7 ,curr5t or pa/ exposure to p]sonal or sy/emic trauma1 includ+ natural disa/]s4 7,k7 ,immigration /atus4 7,l7 ,language isolation4 7#d7 ,m$ically und]s]v$ community ,! t]m m$ically und]s]v$ community has ! mean+ giv5 su* t]m 9 section #gii;,b4 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #i1jjj1jjj1jjj = fiscal ye> #bjbg1 to rema9 available until exp5d$4 4 #ejb4 ,build+ a community heal? work=ce = ! climate crisis ,section #cii,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#aa7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 by r$esignat+ ! p>agraphs 7#b7 ?r\gh 7#f7 z p>agraphs 7#d7 ?r\gh 7#h71 respectively2 7,b7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 build c>e] pa?s = community heal? work]s by-- 7,a7 e/abli%+ accessible1 inclusive1 l[-co/ or no-co/ tra9+1 cr$5tial+1 or appr5tice%ip opportunities = community heal? work]s to acquire skills & exp]tise conc]n+ heal? risks caus$ by climate *ange & environm5tal haz>ds2 7,b7 e/abli%+ accessible1 inclusive1 l[-co/ or no-co/ educational1 tra9+1 cr$5tial+1 or appr5tice%ip opportunities = entry into ! community heal? work] pr(ession2 or 7,c7 exp&+ c>e] advancem5t opportunities & c>e] pa?ways1 includ+ s*ol>%ips = advanc$ or specializ$ tra9+2 7#c7 exp& ! community heal? work=ce by e/abli%+ p]man5t community heal? work] positions t pay1 at m9imum1 ! prevail+ wage = su* work]s1 ?r\gh long-t]m1 /able fund+1 9 ord] to /aff ! m$ical ne$s ( a community suffici5tly :ile ensur+ reasonable workloads = individual work]s2 2 7,c7 9 p>agraph 7#d7 7z s r$esignat$7-- 7i7 9 subp>agraph 7,a77i71 by ins]t+ & l+ui/ically isolat$ populations be=e ! semicolon2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 clause 7i71 by /rik+ & aft] ! semicolon2 7,,ii7 by r$esignat+ clause 7ii7 z clause 7iii72 & 7,,iii7 by ins]t+ aft] clause 7i7 ! foll[+3 7ii7 connect+ population gr\ps at disproportionate risk = specific heal? ?reats & effects f environm5tal haz>ds1 climate *ange1 & extreme wea!r1 su* z increas$ heat-relat$ illnesses & injuries1 degrad$ air & wat] quality1 vector-borne illnesses1 m5tal & behavioral heal? effects1 & food1 wat]1 & nutri5t insecurity to available res\rces2 & 2 7,d7 9 p>agraph 7#g7 7z s r$esignat$71 by /rik+ & aft] ! semicolon2 7,e7 9 p>agraph 7#h7 7z s r$esignat$71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,f7 by add+ at ! end ! foll[+3 7#i7 support community heal? work]s 9 educat+1 guid+1 & provid+ home visitation s]vices reg>d+ ! assessm5t & mitigation ( ! heal? risks ( climate *ange1 includ+ geography-specific & condition-specific risks & environm5tal heal? haz>ds & ! cumulative heal? impacts ( su* risks & haz>ds2 & 7#aj7 provide outrea* & communication to promote prep>$ness & response /rategies to climate *ange & extreme wea!r4 2 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,d71 by /rik+ or at ! end2 7ii7 9 subp>agraph 7,e71 by add+ or aft] ! semicolon2 & 7iii7 by add+ at ! end ! foll[+3 7,f7 environm5tal ju/ice communities 7z def9$ 9 section #b ( ! ,gre5 ,new ,deal = ,heal? ,act72 2 7,b7 9 p>agraph 7#c71 by ins]t+ & exp]i5ce tra9+ community heal? work]s be=e ! semicolon2 7,c7 9 p>agraph 7#d71 by /rik+ & at ! end2 7,d7 9 p>agraph 7#e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,e7 by add+ at ! end ! foll[+3 7#f7 h a docum5t$ collective b>ga9+ agreem5t ) #a or m labor organizations repres5t+ employees ( ! applicant or h an explicit policy n to int]f]e ) ! rights ( employees ( ! applicant "u section #g ( ! ,national ,labor ,relations ,act4 2 7#c7 by r$esignat+ subsections 7e7 ?r\gh 7j7 z subsections 7f7 ?r\gh 7k71 respectively2 7#d7 by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,work=ce expansion ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,labor1 %all develop a plan to exp& ! community heal? work=ce by #aej1jjj work]s by #bjca ?r\gh ! creation ( c>e] pa?ways1 full-"t positions1 & tra9+ opportunities describ$ 9 subsection 7b74 2 7#e7 9 subsection 7j7 7z s r$esignat$71 by /rik+ #ej1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg & ins]t+ #aj1jjj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcf2 & 7#f7 9 p>agraph 7#a7 ( subsection 7k7 7z s r$esignat$7-- 7,a7 by ins]t+ a nonpr(it community heal? organization1 a nonpr(it community heal? work] association1 aft] a public heal? dep>tm5t12 & 7,b7 by /rik+ 77z def9$ & ins]t+ 7z def9$4 #ejc4 ,safegu>d+ ess5tial heal? c>e work]s ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cai;,d-#a 7#db ,u4,s4,c4 #bdg;d-#d;b7 ! foll[+3 #cai;,d-#b4 ,em]g5cy grants to safegu>d ess5tial heal? c>e work]s 7a7 ,def9itions ,9 ?is section3 7#a7 ,em]g5cy or disa/] ,! t]m em]g5cy or disa/] means-- 7,a7 a major disa/] decl>$ by ! ,presid5t "u section #dja ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act2 7,b7 an em]g5cy decl>$ by ! ,presid5t "u section #eja ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act2 7,c7 a national em]g5cy decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act2 7,d7 a public heal? em]g5cy decl>$ "u section #cai2 & 7,e7 a ,/ate or local em]g5cy or disa/]1 z decl>$ by ! applicable ,/ate or local gov]nm5t4 7#b7 ,eligible heal? c>e work] ,! t]m eligible heal? c>e work] means an ess5tial heal? c>e work] ^: "w _c be conduct$ remotely4 7#c7 ,ess5tial heal? c>e work] ,! t]m ess5tial heal? c>e work] means-- 7,a7 a heal? c>e provid]1 includ+ a direct c>e work] 7z def9$ 9 section #gii;,b72 7,b7 a m$ical te*nologi/2 7,c7 a public heal? work]2 7,d7 an ord]ly 7z def9$ 9 ! #bjaj ,/&>d ,occupational ,classifications ( ! ,dep>tm5t ( ,labor "u ! code = ,ord]lies 7#ca-ajae772 7,e7 an environm5tal s]vice1 janitorial1 or cu/odial work] 9 a heal? c>e sett+2 & 7,f7 any o!r pr(essional role t ! ,secret>y det]m9es is ess5tial to ! c>e ( pati5ts or ! ma9t5ance ( public heal?4 7b7 ,grants 7#a7 ,9 g5]al ,! ,secret>y may make grants to public or private nonpr(it heal? c>e facilities & home heal? ag5cies = use 9 accordance ) p>agraph 7#b74 7#b7 ,use ( funds 7,a7 ,haz>d\s duty comp5sation 7i7 ,9 g5]al ,! recipi5t ( a grant "u p>agraph 7#a7 %all use ! grant funds to provide haz>d\s duty comp5sation to eligible heal? c>e work]s = "w p]=m$ dur+ ! p]iod ( an em]g5cy or disa/] 9 cases 9 :i* ! ,secret>y det]m9es t-- 7,i7 ! p]=mance ( ! "w by ! eligible heal? c>e work] = ! applicable heal? c>e facility or home heal? ag5cy is haz>d\s2 or 7,,ii7 ! commute ( ! eligible heal? c>e work] is haz>d\s4 7ii7 ,requirem5t 7,i7 ,9 g5]al ,subject to subclause 7,,ii71 ! am\nt ( haz>d\s duty comp5sation "u clause 7i7 %all be n m ?an #ac p] h\r1 :i* %all be 9 addition to ! wages or remun]ation ! eligible heal? c>e work] o!rwise receives = ! "w4 7,,ii7 ,maximum am\nt ,! total am\nt ( haz>d\s duty comp5sation receiv$ by any #a eligible heal? c>e work] "u ?is subp>agraph may n exce$ #be1jjj p] ye>4 7,b7 ,additional uses ,! recipi5t ( a grant "u p>agraph 7#a7 may use ! grant funds to provide safety measures to safegu>d & protect eligible heal? c>e work]s f haz>ds due to ! applicable em]g5cy or disa/]1 includ+ alt]native transit options1 p]sonal protective equipm5t1 & o!r safety measures4 7c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y4 4 ,,vi ,safe1 /rong1 & resili5t communities ,a ,emp[]+ resili5t community m5tal heal? #fja4 ,grants = resili5t community m5tal heal? ,title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq47 is am5d$ by ins]t+ aft] section #cag,v ! foll[+3 #cag,w4 ,grant program = community wellness & resili5ce programs 7a7 ,grants 7#a7 ,program grants 7,a7 ,aw>ds ,! ,secret>y1 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all c>ry out a program ( aw>d+ grants to eligible entities1 on a competitive basis1 = ! purpose ( e/abli%+1 op]at+1 or exp&+ community m5tal wellness & resili5ce programs4 7,b7 ,am\nt ,an eligible entity aw>d$ a grant "u subp>agraph 7,a7 may receive n m ?an #cjj1jjj p] ye> = n m ?an #d ye>s4 7#b7 ,plann+ grants 7,a7 ,aw>ds ,! ,secret>y1 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all aw>d grants to entities-- 7i7 to organize a resili5ce coord9at+ network t meets ! requirem5ts ( subsection 7c77#b72 7ii7 to p]=m assessm5ts ( ne$ ) respect to community m5tal wellness & resili5ce2 & 7iii7 to prep>e an application = a grant "u p>agraph 7#a74 7,b7 ,am\nt ,! am\nt ( a grant "u subp>agraph 7,a71 ) respect to any resili5ce coord9at+ network to be organiz$ = apply+ = a grant "u p>agraph 7#a71 %all n exce$ #ajj1jjj4 7b7 ,program requirem5ts ,a community m5tal wellness & resili5ce program fund$ pursuant to a grant "u subsection 7a77#a7 %all take a public heal? approa* to m5tal heal? to /r5g!n ! entire community's psy*ological & emotional wellness & resili5ce1 includ+ by-- 7#a7 collect+ & analyz+ in=mation f resid5ts z well z quantitative data to id5tify-- 7,a7 protective factors t enhance & su/a9 ! community's capacity = m5tal wellness & resili5ce2 & 7,b7 risk factors t und]m9e su* capacity2 7#b7 /r5g!n+ su* protective factors & address+ su* risk factors2 7#c7 build+ aw>5ess1 skills1 tools1 curricula1 & lead]%ip 9 ! community to-- 7,a7 facilitate us+ a public heal? approa* to m5tal heal?2 & 7,b7 heal m5tal heal? & psy*osocial problems among all adults & y\?2 & 7#d7 develop+1 implem5t+1 & cont9ually evaluat+ & improv+ a compreh5sive /rategic plan = c>ry+ out ! activities describ$ 9 p>agraphs 7#a71 7#b7 & 7#c7 t includes utiliz+ developm5tally1 l+ui/ically1 & culturally appropriate evid5ce-bas$1 evid5ce-in=m$1 promis+-be/1 or indig5\s practices =-- 7,a7 engag+ community memb]s 9 build+ social connections across cultural1 geographic1 & economic b\nd>ies2 7,b7 enhanc+ local economic & environm5tal conditions & environm5tal resili5ce1 includ+ ) respect to ! built environm5t2 7,c7 becom+ trauma-in=m$ & le>n+ simple self-adm9i/rable m5tal wellness & resili5ce skills2 7,d7 engag+ 9 community activities & mutual aid networks t /r5g!n m5tal wellness & resili5ce2 7,e7 p>tak+ 9 noncl9ical gr\p & community-m9d$ recov]y & heal+ programs2 7,f7 emb$d+ trauma-in=m$ climate education & m5tal resili5ce curricula & programm+ into s*ools = /ud5ts1 work]s1 & ! broad] community2 & 7,g7 o!r activities to promote m5tal wellness & resili5ce1 manage climate anxiety1 & heal individual & community traumas4 7c7 ,eligible entities 7#a7 ,9 g5]al ,to be eligible to receive a grant "u subsection 7a77#a71 an applicant %all be a nonpr(it or community organization t has-- 7,a7 organiz$ a resili5ce coord9at+ network t meets ! requirem5ts ( p>agraph 7#b72 & 7,b7 be5 approv$ by su* resili5ce coord9at+ network to s]ve z its fiscal sponsor4 7#b7 ,resili5ce coord9at+ networks describ$ ,a resili5ce coord9at+ network organiz$ "u p>agraph 7#a77;,a7 %all be compos$ ( #a or m repres5tatives ( entities f n few] ?an #h ( ! foll[+ categories3 7,a7 ,grassroots gr\ps1 neighborhood associations1 & volunte] civic organizations4 7,b7 ,elem5t>y & second>y s*ools1 in/itutions ( high] education includ+ community colleges1 job-tra9+ programs1 & o!r education or tra9+ ag5cies or organizations4 7,c7 ,y\? aft]-s*ool & summ] programs4 7,d7 ,family & e>ly *ildhood education programs4 7,e7 ,fai? & spirituality organizations4 7,f7 ,s5ior c>e organizations4 7,g7 ,climate *ange mitigation & adaptation1 & environm5tal cons]vation1 gr\ps & organizations4 7,h7 ,social & environm5tal ju/ice gr\ps & organizations4 7,i7 ,disa/] prep>$ness & response gr\ps & organizations4 7,j7 ,local labor organizations4 7,k7 ,bus9esses & bus9ess associations4 7,l7 ,ag5cies & organizations involv$ ) community safety4 7,m7 ,social "w1 m5tal heal?1 behavioral heal?1 sub/ance use1 physical heal?1 & public heal? pr(essionals2 public heal? ag5cies & in/itutions2 & m5tal heal?1 behavioral heal?1 social "w1 & o!r pr(essionals1 gr\ps1 organizations1 ag5cies1 & in/itutions 9 ! heal? & human s]vices fields4 7,n7 ,! g5]al public1 includ+ individuals :o h exp]i5c$ m5tal heal? or psy*osocial problems :o c repres5t & engage ) populations relevant to ! community4 7d7 ,report 7#a7 ,submission ,n lat] ?an ,decemb] #ca1 #bjca1 ! ,secret>y %all submit a report to ! ,congress on ! results ( ! grants "u subsection 7a77#a74 7#b7 ,cont5ts ,su* report %all include a summ>y ( ! be/ practices us$ by grantees 9 e/abli%+1 op]at+1 or exp&+ community m5tal wellness & resili5ce programs4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance-- 7#a7 to assi/ eligible entities 9 develop+ applications = grants "u p>agraph 7#a7 or 7#b7 ( subsection 7a72 & 7#b7 to enable ! %>+ ( be/ practices le>n$ f successful resili5ce coord9at+ networks4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m community means p1 gr\ps1 & organizations t reside 9 or "w )9 a specific geographic area1 su* z a city1 neighborhood1 subdivision1 urban1 suburban1 or rural locale4 7#b7 ,! t]m community trauma means a bl[ to ! basic fabric ( social life t damages ! bonds atta*+ p toge!r1 impairs _! prevail+ s5se ( community1 und]m9es _! fundam5tal s5se ( safety1 ju/ice1 equity1 & security1 & height5s individual & collective fe>s & feel+s ( vuln]ability4 7#c7 ,! t]m m5tal wellness means a /ate ( well-be+ 9 :i* an individual c-- 7,a7 realize _! own pot5tial2 7,b7 con/ructively cope ) ! /resses ( life2 7,c7 "w productively & fruitfully2 & 7,d7 make a contribution to _! community4 7#d7 ,! t]m protective factors means /r5g?s1 skills1 res\rces1 & *>act]i/ics t-- 7,a7 are associat$ ) a l[] likelihood ( negative outcomes ( adv]sities2 or 7,b7 r$uce ! impact on p ( toxic /resses or a traumatic exp]i5ce4 7#e7 ,! t]m psy*osocial problem means ! ways 9 :i* an individual's m5tal heal? or behavioral heal? problem di/urbs o!rs su* z *ildr51 families1 communities1 or society4 7#f7 ,! t]m public heal? approa* to m5tal heal? means me?ods t-- 7,a7 take a population-level approa* to promote m5tal wellness & resili5ce to prev5t problems be=e !y em]ge & heal !m :5 !y d appe>1 n m]ely treat+ individuals "o at a "t aft] symptoms ( pa?ology appe>2 & 7,b7 address m5tal heal? & psy*osocial problems by-- 7i7 id5tify+ & /r5g!n+ exi/+ protective factors1 & =m+ new ones1 t buff] p f & enhance _! capacity = psy*ological & emotional resili5ce2 & 7ii7 tak+ a holi/ic sy/ems p]spective t recognizes t mo/ m5tal heal? & psy*osocial problems result f num]\s int]relat$ p]sonal1 family1 social1 economic1 & environm5tal factors t require multiprong$ community-bas$ int]v5tions4 7#g7 ,! t]m resili5ce means t p develop cognitive1 psy*ological1 emotional capabilities & social connections t enable !m to calm _! body1 m9d1 emotions1 & behaviors dur+ toxic /resses or traumatic exp]i5ces 9 ways t enable !m to-- 7,a7 respond )\t negative consequ5ces = !mselves or o!rs2 & 7,b7 use ! exp]i5ces z cataly/s to develop a con/ructive new s5se ( mean+1 purpose1 & hope4 7#h7 ,! t]m ,secret>y means ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7#i7 ,! t]m toxic /ress means exposure to p]si/5t ov]:elm+ traumatic & /ressful situations4 7g7 ,fund+ 7#a7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ajj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 7#b7 ,rural communities ,! ,secret>y %all aw>d n less ?an #bj p]c5t ( ! am\nts made available "u p>agraph 7#a7 = grants "u p>agraphs 7#a7 & 7#b7 ( subsection 7a7 to eligible entities t are e/abli%+1 op]at+1 or exp&+ community m5tal wellness & resili5ce programs t are locat$ 9 or s]ve a rural area 7z def9$ 9 section #ebj ( ! ,h\s+ ,act ( #aidi 7#db ,u4,s4,c4 #adij774 7#c7 ,environm5tal ju/ice communities ,! ,secret>y %all aw>d n less ?an #bj p]c5t ( ! am\nts made available "u p>agraph 7#a7 = grants "u p>agraphs 7#a7 & 7#b7 ( subsection 7a7 to eligible entities t are e/abli%+1 op]at+1 or exp&+ community m5tal wellness & resili5ce programs t s]ve environm5tal ju/ice communities 7z def9$ 9 section #b ( ! ,gre5 ,new ,deal = ,heal? ,act74 4 ,b ,und]/&+ & prev5t+ heat risk #faa4 ,def9itions ,9 ?is subtitle3 7#a7 ,extreme heat ,! t]m extreme heat means heat t sub/antially exce$s local climatological norms 9 t]ms ( any comb9ation ( ! foll[+3 7,a7 ,duration ( an individual heat ev5t4 7,b7 ,int5sity4 7,c7 ,season l5g?4 7,d7 ,frequ5cy4 7#b7 ,heat ,! t]m heat means any comb9ation ( ! atmosph]ic p>amet]s associat$ ) modulat+ human !rmal regulation1 su* z air temp]ature1 humidity1 sol> exposure1 & w9d spe$4 7#c7 ,heat ev5t ,! t]m heat ev5t means an occurr5ce ( extreme heat t may h heat-heal? implications4 7#d7 ,heat-heal? ,! t]m heat-heal? means m5tal & physical heal? effects to humans f heat or ! risk ( su* effects4 7#e7 ,plann+ ,! t]m plann+ means activities p]=m$ across "t scales 7includ+ days1 weeks1 mon?s1 ye>s1 & decades7 ) sc5>io-bas$1 probabili/ic or det]m9i/ic in=mation to id5tify & take actions to proactively mitigate heat-heal? risks f increas$ frequ5cy1 duration1 & int5sity ( heat waves & increas$ ambi5t temp]ature4 7#f7 ,prep>$ness ,! t]m prep>$ness means activities p]=m$ across "t scales 7includ+ days1 weeks1 mon?s1 ye>s1 & decades7 ) probabili/ic or det]m9i/ic in=mation to manage risk 9 advance ( a heat ev5t & increas$ ambi5t temp]ature4 7#g7 ,tribal gov]nm5t ,! t]m ,tribal gov]nm5t means ! recogniz$ gov]n+ body ( any ,indian or ,alaska ,native tribe1 b&1 nation1 pueblo1 village1 community1 compon5t b&1 or compon5t res]vation1 individually id5tifi$ 7includ+ p>5!tically7 9 ! li/ publi%$ mo/ rec5tly z ( ! date ( enactm5t ( ?is ,act pursuant to section #ajd ( ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid 7#be ,u4,s4,c4 #eaca74 7#h7 ,vuln]able populations ,! t]m vuln]able populations means populations t face heal?1 f9ancial1 educational1 or h\s+ disp>ities t w\ld r5d] !m m susceptible to ! negative impacts ( extreme heat4 #fab4 ,/udy on extreme heat in=mation & response 7a7 ,/udy 7#a7 ,9 g5]al ,n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,"u ,secret>y ( ,comm]ce = ,oceans & ,atmosph]e1 9 consultation ) repres5tatives f ! ,dep>tm5t ( ,heal? & ,human ,s]vices z ! ,secret>y ( ,heal? & ,human ,s]vices consid]s appropriate1 %all seek to ent] into an agreem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e to conduct a /udy on extreme heat in=mation & response1 to be complet$ n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7#b7 ,elem5ts ,! /udy describ$ 9 p>agraph 7#a7 %all-- 7,a7 id5tify ! policy1 rese>*1 op]ations1 communications1 & data gaps affect+ heat-heal? plann+1 prep>$ness1 response1 resili5ce1 & adaptation1 & impacts to vuln]able populations2 7,b7 provide recomm5dations = address+ gaps id5tifi$ "u subp>agraph 7,a72 7,c7 provide recomm5dations1 9 addition to ! recomm5dations provid$ "u subp>agraph 7,b71 :i* may include /rategies =-- 7i7 communicat+ w>n+s to & promot+ resili5ce ( populations vuln]able to extreme heat2 7ii7 di/ribut+ extreme heat w>n+s1 includ+ to individuals ) limit$ ,engli% pr(ici5cy & individuals :o may h o!r e/abli%$ b>ri]s to su* in=mation2 7iii7 design+ w>n+s describ$ 9 clause 7ii7 to convey ! urg5cy & sev]ity ( heat ev5ts & a*ieve behavior *anges t r$uce ! mortality & morbidity ( extreme heat effects2 7iv7 und]/&+ comp\nd & cascad+ risks to in=m developm5t & implem5tation ( heat-heal? risk r$uction int]v5tions2 & 7v7 promot+ community resili5ce & address+ specific decision support s]vice ne$s ( vuln]able populations2 & 7,d7 consid] ! effectiv5ess ( c\ntry- or local-level heat aw>5ess & communication tools1 prep>$ness plans1 or mitigation4 7#c7 ,developm5t ( def9itions ,9 conduct+ ! /udy describ$ 9 p>agraph 7#a71 ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e %all "w ) heat & heal? exp]ts to id5tify consi/5t & agre$-^u def9itions = heat ev5ts1 heat waves1 & o!r relevant t]ms4 7b7 ,report ,n lat] ?an #ij days aft] completion ( ! /udy describ$ 9 subsection 7a77#a71 ! ,"u ,secret>y ( ,comm]ce = ,oceans & ,atmosph]e %all-- 7#a7 make available to ! public on an int]net website ( ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration a report on ! f9d+s & conclusions ( ! /udy2 & 7#b7 submit ! report to-- 7,a7 ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation ( ! ,s5ate2 7,b7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 7,c7 ! ,committee on ,sci5ce1 ,space1 & ,te*nology ( ! ,h\se ( ,repres5tatives2 7,d7 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives2 & 7,e7 ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives4 #fac4 ,f9ancial assi/ance = rese>* & resili5ce 9 address+ extreme heat risks 7a7 ,e/abli%m5t ( program ,subject to ! availability ( appropriations1 n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,"u ,secret>y ( ,comm]ce = ,oceans & ,atmosph]e %all e/abli% & adm9i/] a community heat resili5ce program to provide f9ancial assi/ance to eligible entities to c>ry out projects describ$ 9 subsection 7e7 to ameliorate ! m5tal & physical human heal? impacts ( extreme heat ev5ts4 7b7 ,purpose ,! purpose ( ! f9ancial assi/ance provid$ "u ?is section is to fur!r sci5tific rese>* reg>d+ extreme heat & fund ef=ts to educate communities ab\t extreme heat4 7c7 ,=ms ( assi/ance ,f9ancial assi/ance provid$ "u ?is section may be 9 ! =m ( contracts1 grants1 or coop]ative agreem5ts4 7d7 ,eligible entities ,entities eligible to receive f9ancial assi/ance "u ?is section to c>ry out projects describ$ 9 subsection 7e7 include-- 7#a7 nonpr(it entities2 7#b7 academic in/itutions2 7#c7 ,/ates2 7#d7 ,tribal gov]nm5ts2 7#e7 local gov]nm5ts2 & 7#f7 political subdivisions ( ,/ates1 ,tribal gov]nm5ts1 & local gov]nm5ts4 7e7 ,eligible projects ,projects describ$ 9 ?is subsection include projects-- 7#a7 to exp& public aw>5ess ( heat risks2 7#b7 to conduct heat mapp+ campaigns2 7#c7 to conduct sci5tific rese>* to assess gaps & priorities reg>d+ ! risks ( extreme heat 9 communities2 7#d7 to communicate risks to isolat$ communities2 & 7#e7 to educate su* communities ab\t h[ to respond to extreme heat ev5ts4 7f7 ,priorities ,9 select+ eligible entities to receive f9ancial assi/ance "u ?is section1 ! ,"u ,secret>y ( ,comm]ce = ,oceans & ,atmosph]e %all prioritize entities t w c>ry out projects t provide b5efits = hi/orically disadvantag$ communities & communities f\nd to h ! greate/ risk or highe/ incid5ce ( heat-relat$ illnesses & mortalities4 #fad4 ,au?orization ( appropriations 7a7 ,/udy on extreme heat in=mation & response ,!re is au?oriz$ to be appropriat$ to ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration to contract ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e to c>ry out section #fab #ejj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjbi4 7b7 ,f9ancial assi/ance ,to address extreme heat ,!re is au?oriz$ to be appropriat$ to ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration to c>ry out section #fac #cj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 ,c ,home resili5cy = m$ical ne$s #fba4 ,m$ic>e cov]age ( m$ically necess>y home resili5cy s]vices 7a7 ,cov]age ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$-- 7#a7 9 subsection 7s77#b7-- 7,a7 9 subp>agraph 7,,jj71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,,kk71 by ins]t+ & at ! end2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,ll7 9 ! case ( an individual :o is m$ically at risk 9 ! ev5t ( a climate or man-made disa/] 7z det]m9$ by ! ,secret>y 9 accordance ) subsection 7ooo771 home resili5cy s]vices 7z def9$ 9 su* subsection72 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7ooo7 ,home resili5cy s]vices2 det]m9ation ( individuals m$ically at risk 7#a7 ,home resili5cy s]vices ,! t]m home resili5cy s]vices means items & s]vices-- 7,a7 furni%$ on or aft] ,janu>y #a1 #bjbg1 to an individual describ$ 9 subsection 7s77#b77,,ll72 & 7,b7 t ! ,secret>y det]m9es are m$ically necess>y = su* individual 9 ! case ( a climate or man-made disa/]1 su* z a heat pump = an individual vuln]able to extreme temp]atures1 sol> batt]ies = an individual reliant on electrical m$ical equipm5t 7includ+ home me*anical v5tilators71 & en]gy-effici5t cold /orage = heat-s5sitive m$ical supplies4 7#b7 ,det]m9ation ( individuals m$ically at risk ,= purposes ( subsection 7s77#b77,,ll7 & ?is subsection1 ! ,secret>y1 9 consultation ) ! ,(fice ( ,climate ,*ange & ,heal? ,equity e/abli%$ by section #ajb7;a77#a7 ( ! ,gre5 ,new ,deal = ,heal? ,act1 ! ,national ,in/itutes ( ,heal?1 ! ,c5t]s ( ,m$ic>e ,m$icaid ,s]vices1 & ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration1 %all e/abli% a process to det]m9e ! conditions "u :i* an individual w\ld be det]m9$ to be m$ically at risk 9 ! ev5t ( a disa/] or climate haz>ds1 includ+ extreme heat1 extreme cold1 flood+1 & loss ( p[]4 ,su* a process %all consid]-- 7,a7 geography-specific climate risks & regional prep>$ness = diff]5t climate risks2 7,b7 ! regional hi/ory ( disa/] or climate haz>ds & infra/ructure failure 9 ! prec$+ #bj ye>s or ! =w>d-look+ pr$ict$ risk ( disa/] or climate haz>ds & infra/ructure failure 9 ! next #bj ye>s2 7,c7 m$ical reliance on equipm5t1 ph>maceuticals1 mobility aids1 & o!r supplies t are s5sitive to exposure to extreme temp]atures1 poor air quality1 flood+ & wat] damage1 or dep5d5t on electrical p[]2 & 7,d7 *ronic m$ical conditions1 disabilities1 & co-morbidities t increase pati5t vuln]ability dur+ disa/]4 4 7b7 ,paym5t ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7#a7 by /rik+ & be=e 7,,hh72 & 7#b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 & 7,,ii7 ) respect to home resili5cy s]vices describ$ 9 section #ahfa7s77#b77,,ll71 ! am\nt paid %all be an am\nt equal to #ajj p]c5t ( ! less] ( ! actual *>ge = ! s]vices or ! am\nt det]m9$ "u a fee s*$ule e/abli%$ by ! ,secret>y4 ,,vii ,rese>* & innovation = climate & heal? #gja4 ,rese>* & innovation = climate & heal? ,title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq47 is am5d$ by add+ at ! end ! foll[+3 ,x ,rese>* & innovation = climate & heal? #cii,,pp4 ,national ,climate & ,heal? ,rese>* & ,innovation ,initiative 7a7 ,e/abli%m5t ,! ,presid5t %all e/abli% & implem5t an initiative1 to be kn[n z ! ,national ,climate & ,heal? ,rese>* & ,innovation ,initiative 7ref]r$ to 9 ?is "p z ! ,initiative71 to be c>ri$ out by ! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y = ,heal?4 7b7 ,purpose ,! purpose ( ! ,initiative is to develop ! tools1 rese>*1 innovations1 & und]/&+ ( climate *ange & heal? ne$$ to prev5t1 treat1 & mitigate ! heal? h>ms ( climate *ange 9 ord] to protect ! collective heal? & well-be+ ( ! p ( ! ,unit$ ,/ates4 7c7 ,activities ,9 c>ry+ out ! ,initiative1 ! ,presid5t1 act+ ?r\gh ! ,(fice ( ,climate ,*ange & ,heal? ,equity1 ! ,int]ag5cy ,committee1 & su* ag5cy heads z ! ,presid5t consid]s appropriate1 %all c>ry out activities t include ! foll[+3 7#a7 ,support+ rese>* to und]/&1 pr$ict1 & prev5t ! heal? burd5s ( climate *ange & improve ! ability to treat heal? h>ms due to climate *ange1 includ+-- 7,a7 rese>* to und]/& & pr$ict ! impacts ( climate *ange on bo? physical & m5tal heal?1 includ+ disproportionate impacts bas$ on race1 e?nicity1 language1 g5d]1 sex1 pregnancy /atus1 disability1 age1 location1 occupation1 & immigration /atus2 7,b7 rese>* into1 & mitigation (1 adv]se m5tal & physical heal? effects ( hi/orical & ongo+ environm5tal racism & ! subsequ5t comb9$ heal? risk ( climate *ange & environm5tal pollution2 7,c7 rese>* to model & pr$ict occupational haz>ds t w occur or int5sify due to climate *ange2 7,d7 developm5t ( m$ical education curricula relat+ to ! cl9ical haz>ds (1 & int]v5tions =1 climate-*ange-bas$ heal? burd5s2 7,e7 rese>* to address climate-relat$ h\s+ & community developm5t issues1 includ+ ! impact (1 & mitigation /rategies =1 *all5ges su* z isolation1 l[-quality h\s+1 h\s+ prec>ity1 & homelessness1 & ! vuln]abilities & ! m5tal & physical heal? risks ^? *all5ges pres5t2 & 7,f7 rese>* to /udy ! social & economic factors & policies t create heal?y1 resili5t communities prep>$ to adapt to ! *all5ges pos$ by climate *ange4 7#b7 ,support+ rese>* & developm5t ( su/a9able & equitable heal? c>e op]ations & cl9ical practices t r$uce gre5h\se gas emissions1 climate risk1 & environm5tal heal? haz>ds1 includ+-- 7,a7 rese>* into effective models ( heal? c>e deliv]y-- 7i7 to mitigate ! impact ( long-/&+ climate *ange & environm5tal haz>ds on heal?2 & 7ii7 9 prep>ation =1 & 9 response to1 climate disa/]s2 7,b7 rese>* to model & pr$ict ! necess>y heal? c>e capacity surplus requir$ to absorb bo? acute & *ronic surges 9 heal? c>e dem& due to climate-g5]at$ heal? burd51 ) att5tion to geographical climate risks & pati5t demographic heal? c>e ne$s2 7,c7 ! developm5t ( me?ods to r$uce heal? sector environm5tal pollution2 7,d7 rese>* into1 & mitigation (1 ! environm5tal impacts ( haz>d\s sub/ances us$ 9 heal? c>e & ! heal? c>e supply *a91 includ+ ! placem5t ( facilities t use haz>d\s sub/ances & ! proximity ( ^? facilities to hi/orically m>g9aliz$ communities2 7,e7 7i7 rese>* & developm5t ( innovations t %ift ! lifecycle ( m$ical supplies & devices f s+le use to su/a9able1 circul> economies1 includ+ l[-environm5tal impact /]ilization te*niques2 & 7ii7 support ( public-private p>tn]%ips t enable sci5tific translation ( ^? innovations2 7,f7 ! developm5t ( cl9ically equival5t & improv$1 l[-climate-footpr9t int]v5tions & ph>maceuticals & ! /udy ( ! environm5tal impacts ( ^? int]v5tions & ph>maceuticals to enable high-quality1 environm5tally consci\s cl9ical decision mak+2 & 7,g7 conduct+ & support+ rese>*1 developm5t1 demon/ration1 & comm]cial application ( r5ewable en]gy te*nologies & /rategies to meet ! en]gy dem& & en]gy security ne$s ( infra/ructure critical to heal? c>e4 7d7 ,t]m9ation ,! ,initiative %all t]m9ate on ,decemb] #ca1 #bjcf4 #cii,,pp-#a4 ,int]ag5cy coord9ation 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,gre5 ,new ,deal = ,heal? ,act1 ! ,presid5t %all e/abli% an int]ag5cy committee 7ref]r$ to 9 ?is "p z ! ,int]ag5cy ,committee71 to coord9ate ! ,initiative1 z appropriate1 among ! dep>tm5ts1 (fices1 & ag5cies describ$ 9 subsection 7b77#a74 7b7 ,memb]%ip 7#a7 ,9 g5]al ,! memb]%ip ( ! ,int]ag5cy ,committee %all consi/ (-- 7,a7 #c repres5tatives ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 :i* %all include-- 7i7 #a repres5tative ( ! ,(fice ( ,climate ,*ange & ,heal? ,equity2 & 7ii7 #a repres5tative ( ! ,national ,in/itutes ( ,heal?2 7,b7 #a repres5tative ( ! ,(fice ( ,sci5ce & ,te*nology ,policy2 7,c7 #a repres5tative ( ! ,national ,sci5ce ,f\ndation2 7,d7 #a repres5tative ( ! ,environm5tal ,protection ,ag5cy2 7,e7 #a repres5tative ( ! ,dep>tm5t ( ,en]gy2 7,f7 #a repres5tative ( ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t2 & 7,g7 #a repres5tative ( ! ,dep>tm5t ( ,labor4 7#b7 ,co-*airs ,! ,int]ag5cy ,committee %all be co-*air$ by ! repres5tatives describ$ 9 subp>agraphs 7,a77i7 & 7,b7 ( p>agraph 7#a74 7c7 ,meet+s ,! ,int]ag5cy ,committee %all meet n less frequ5tly ?an qu>t]ly4 7d7 ,duties ,! ,int]ag5cy ,committee %all-- 7#a7 provide = int]ag5cy coord9ation ( ! activities ( ! ,initiative2 7#b7 develop a plan t describes h[ ! dep>tm5ts1 (fices1 & ag5cies describ$ 9 subsection 7b77#a7 w collectively c>ry out ! activities describ$ 9 section #cii,,pp7c71 includ+-- 7,a7 a description ( h[ ea* dep>tm5t1 (fice1 & ag5cy w execute a subset ( ! activities describ$ 9 t section2 & 7,b7 a description ( collaborations across ! dep>tm5ts1 (fices1 & ag5cies2 7#c7 annually submit to ,congress a report describ+ ! progress ( ! ,initiative1 activities ( ! ,int]ag5cy ,committee1 & policy recomm5dations t d]ive f ! results ( ! ,initiative2 & 7#d7 z "p ( ! ,presid5t's annual budget reque/ to ,congress1 propose an annually coord9at$ int]ag5cy budget = ! ,initiative to ! ,(fice ( ,managem5t & ,budget t is int5d$ to ensure t ! balance ( fund+ across ! ,initiative is suffici5t to meet ! goals & priorities e/abli%$ = ! ,initiative4 #cii,,pp-#b4 ,advisory ,c\ncil 7a7 ,9 g5]al ,! ,secret>y %all e/abli% an advisory c\ncil 7ref]r$ to 9 ?is section z ! ,advisory ,c\ncil7 to advise & provide recomm5dations to ! ,initiative4 7b7 ,memb]%ip 7#a7 ,9 g5]al ,! memb]%ip ( ! ,advisory ,c\ncil %all consi/ (-- 7,a7 ! memb]s ( ! ,int]ag5cy ,committee2 & 7,b7 ! non-,f$]al memb]s appo9t$ "u p>agraph 7#b74 7#b7 ,appo9t$ memb]s ,! ,secret>y %all appo9t ! foll[+ non-,f$]al memb]s ( ! ,advisory ,c\ncil3 7,a7 ,n m ?an #d memb]s :o are repres5tatives ( rese>* in/itutions1 academic in/itutions1 or m$ical indu/ry entities4 7,b7 ,n few] ?an #a memb] :o is a repres5tative ( a critical access hospital 7z def9$ 9 section #ahfa7mm77#a7 ( ! ,social ,security ,act74 7,c7 ,n few] ?an #a memb] :o is a repres5tative ( a hospital t receives disproportionate %>e paym5ts "u section #ahhf7;d77#e77;,f7 ( ! ,social ,security ,act4 7,d7 ,n few] ?an #a memb] :o is a repres5tative ( a community heal? c5t] receiv+ fund+ "u section #ccj4 7,e7 ,n few] ?an #a memb] :o is a repres5tative ( an ,indian ,heal? ,s]vice facility op]at$ by an ,indian tribe or tribal organization 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act74 7,f7 ,n few] ?an #a memb] :o is a repres5tative ( a ,/ate1 local1 or ,tribal dep>tm5t ( public heal?4 7,g7 ,n few] ?an #d memb]s :o-- 7i7 are repres5tatives ( labor organizations repres5t+ heal? c>e work]s2 & 7ii7 collectively repres5t a div]sity ( heal? c>e pr(essions1 su* z work]s 9 environm5tal s]vices1 direct c>e work]s1 nurses1 & physicians4 7,h7 ,n few] ?an #d memb]s :o are repres5tatives ( community-bas$ pati5t advocacy or public heal? advocacy organizations1 ea* ( :i* are f diff]5t geographic regions ( ! ,unit$ ,/ates4 7#c7 ,div]se repres5tation ,! ,secret>y %all ensure t ! memb]%ip ( ! ,advisory ,c\ncil reflects ! div]sity ( ! pati5t populations t are geographically & demographically repres5tative ( ! ,unit$ ,/ates1 especially frontl9e populations & populations t are subject to negative disp>ate outcomes 9 heal?4 7#d7 ,duties ,! ,advisory ,c\ncil %all advise ! ,presid5t & ! ,secret>y on matt]s relat+ to ! ,initiative1 includ+ recomm5dations relat$ to-- 7,a7 ! rese>* & innovation ne$s ( frontl9e communities1 environm5tal ju/ice communities 7z def9$ 9 section #b ( ! ,gre5 ,new ,deal = ,heal? ,act71 m$ically und]s]v$ communities 7z def9$ 9 section #gii;,b71 & individuals vuln]able to climate *ange2 7,b7 ! curr5t gaps & *all5ges 9 ! sci5tific und]/&+ ( ! heal? impacts ( climate *ange & ! impact ( heal? c>e on climate2 7,c7 em]g+ rese>* & innovation ne$s f cl9ical practice2 7,d7 :e!r issues ( heal? disp>ities are adequately address$ by ! ,initiative2 7,e7 ! balance ( activities & fund+ across ! ,initiative2 7,f7 bottl5ecks 9 translat+ rese>* f9d+s into cl9ical advances1 mitigation /rategies1 & workplace safety2 & 7,g7 acc\ntability & e?ical use ( rese>* funds4 7#e7 ,meet+s ,! ,advisory ,c\ncil %all meet n less frequ5tly ?an annually1 & su* meet+s %all be op5 to ! public4 7#f7 ,t]m9ation ,! ,advisory ,c\ncil %all t]m9ate on ,decemb] #ca1 #bjcf4 #cii,,pp-#c4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out section #cii,,pp #e1jjj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcf4 4