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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HD69FB7EDA071408D91A37D7C2F3FCDC9" public-private="public"> 
<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>111th CONGRESS</congress> <session>1st Session</session> 
<legis-num>H. R. 2323</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20090507">May 7, 2009</action-date> 
<action-desc><sponsor name-id="C001036">Mrs. Capps</sponsor> (for herself, <cosponsor name-id="M001163">Ms. Matsui</cosponsor>, and <cosponsor name-id="B001230">Ms. Baldwin</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc> 
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To direct the Secretary of Health and Human Services to develop a national strategic action plan to assist health professionals in preparing for and responding to the public health effects of climate change, and for other purposes.</official-title> 
</form> 
<legis-body id="H7561C52F1D4D4CE3870E4D350FB50618" style="OLC"> 
<section id="H4A2E8345461941DF8BFA01DCCBE75EF2" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Climate Change Health Protection and Promotion Act</short-title></quote>.</text> </section>
<section id="HC48FAEB953444367839867FD99A9EE10"><enum>2.</enum><header>Sense of Congress on public health and climate change</header><text display-inline="no-display-inline">It is the sense of the Congress that the Federal Government, in cooperation with international, State, tribal, and local governments, concerned public and private organizations, and citizens, should use all practicable means and measures—</text> 
<paragraph id="HB3F5C892A32A474FB7B3AEEB8B80C31D"><enum>(1)</enum><text>to assist the efforts of public health and health care professionals, first responders, States, tribes, municipalities, and local communities to incorporate measures to prepare health systems to respond to the impacts of climate change;</text> </paragraph>
<paragraph id="H0349D63E125C4D80B51E8927E5005BD7"><enum>(2)</enum><text>to ensure—</text> 
<subparagraph id="HA945F67FFDE546FBBF83311F9551F52D"><enum>(A)</enum><text>that the Nation’s health professionals have sufficient information to prepare for and respond to the adverse health impacts of climate change;</text> </subparagraph>
<subparagraph id="HEFC7EB1379084C5D93E3A8B390462300"><enum>(B)</enum><text>the utility and value of scientific research in advancing understanding of—</text> 
<clause id="H61E04281E2CC413593EFC3DEF988E4B9"><enum>(i)</enum><text>the health impacts of climate change; and</text> </clause>
<clause id="H45C4EA303077429900F13461E65533F7"><enum>(ii)</enum><text display-inline="yes-display-inline">strategies to prepare for and respond to the health impacts of climate change;</text> </clause></subparagraph>
<subparagraph id="H00AAAEF477E643EBBFF96F988EFD8521"><enum>(C)</enum><text>the identification of communities vulnerable to the health effects of climate change and the development of strategic response plans to be carried out by health professionals for those communities;</text> </subparagraph>
<subparagraph id="H91E9CF5E9D0F4AAC9FA7EDA0B734B508"><enum>(D)</enum><text>the improvement of health status and health equity through efforts to prepare for and respond to climate change; and</text> </subparagraph>
<subparagraph id="H01651187F31340CA83637F1B062CF981"><enum>(E)</enum><text>the inclusion of health policy in the development of climate change responses;</text> </subparagraph></paragraph>
<paragraph id="HF96447532A8649EEBA9CB7D9498EA813"><enum>(3)</enum><text>to encourage further research, interdisciplinary partnership, and collaboration among stakeholders in order to—</text> 
<subparagraph id="H7F9CC99686E549A9823120779B51B483"><enum>(A)</enum><text>understand and monitor the health impacts of climate change; and</text> </subparagraph>
<subparagraph id="HF808550DAA2F4664A3F38983F8E86069"><enum>(B)</enum><text>improve public health knowledge and response strategies to climate change;</text> </subparagraph></paragraph>
<paragraph id="HA2B61F8FB52F4C5C8E5CB05F48BA11EE"><enum>(4)</enum><text>to enhance preparedness activities, and public health infrastructure, relating to climate change and health;</text> </paragraph>
<paragraph id="H785CCD093557417890E6734FEF126CA0"><enum>(5)</enum><text>to encourage each and every American to learn about the impacts of climate change on health; and</text> </paragraph>
<paragraph id="HBB80560224D04224AA25EA1EFFE1CF97"><enum>(6)</enum><text>to assist the efforts of developing nations to incorporate measures to prepare health systems to respond to the impacts of climate change.</text> </paragraph></section>
<section id="HEACFF841B7CA4A85B6E5583FD2BA4399"><enum>3.</enum><header>Relationship to other laws</header><text display-inline="no-display-inline">Nothing in this Act in any manner limits the authority provided to or responsibility conferred on any Federal department or agency by any provision of any law (including regulations) or authorizes any violation of any provision of any law (including regulations), including any health, energy, environmental, transportation, or any other law or regulation.</text> </section>
<section id="HBF7DDFE9ADD64AE78335008291776084"><enum>4.</enum><header>National strategic action plan</header> 
<subsection id="H36508A1EFDDA4BC2A2EFCDADB2406EF7"><enum>(a)</enum><header>Requirement</header> 
<paragraph id="HC5727211EE6448C099989773DD019153"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services, within 2 years after the date of the enactment of this Act, on the basis of the best available science, and in consultation pursuant to paragraph (2), shall publish a strategic action plan to assist health professionals in preparing for and responding to the impacts of climate change on public health in the United States and other nations, particularly developing nations.</text> </paragraph>
<paragraph id="H6C6E5AE265F04E4BA88B8CAE3F3C14D5"><enum>(2)</enum><header>Consultation</header><text>In developing or making any revision to the national strategic action plan, the Secretary shall—</text> 
<subparagraph id="HDD1641B6A52248F387EE8B05A87542B0"><enum>(A)</enum><text display-inline="yes-display-inline">consult with the Director of the Centers for Disease Control and Prevention, the Administrator of the Environmental Protection Agency, the Director of the National Institutes of Health, the Secretary of Energy, other appropriate Federal agencies, Indian tribes, State and local governments, public health organizations, scientists, and other interested stakeholders; and</text> </subparagraph>
<subparagraph id="HA0AF87ADF1D44FB300226C908832F197"><enum>(B)</enum><text>provide opportunity for public input.</text> </subparagraph></paragraph></subsection>
<subsection id="HFA0AE77EC30E403FAEDE5FDD29184FF"><enum>(b)</enum><header>Contents</header> 
<paragraph id="H421AD6D72D0E4AB080DC29FE5BD36FD8"><enum>(1)</enum><header>In general</header><text>The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall assist health professionals in preparing for and responding effectively and efficiently to the health effects of climate change through measures including—</text> 
<subparagraph id="H41768DAFAC3A40988896AA7CF61D0535"><enum>(A)</enum><text>developing, improving, integrating, and maintaining domestic and international disease surveillance systems and monitoring capacity to respond to health-related effects of climate change, including on topics addressing—</text> 
<clause id="HC010EB59F1DB424FAE3593D4200CDEF"><enum>(i)</enum><text>water, food, and vector borne infectious diseases and climate change;</text> </clause>
<clause id="H4196F59C03A24667B7CB6DCE6CC26E69"><enum>(ii)</enum><text>pulmonary effects, including responses to aeroallergens;</text> </clause>
<clause id="H5BC1EAE5A4C742D68FE030DA40971052"><enum>(iii)</enum><text>cardiovascular effects, including impacts of temperature extremes;</text> </clause>
<clause id="HC210F6660B184103A57D59AC16DEE9F"><enum>(iv)</enum><text display-inline="yes-display-inline">air pollution health effects, including heightened sensitivity to air pollution;</text> </clause>
<clause id="HD3375C68349B4F12A0DBC807BD4DD2F"><enum>(v)</enum><text>hazardous algal blooms;</text> </clause>
<clause id="HF468F792A05D4A37A03DB931429B2D34"><enum>(vi)</enum><text>mental and behavioral health impacts of climate change;</text> </clause>
<clause id="H1E5563B4B4E24AEEA6EAAB533F3AD1"><enum>(vii)</enum><text>the health of refugees, displaced persons, and vulnerable communities;</text> </clause>
<clause id="H77DE3E7204F1423E93DD7B08B5933659"><enum>(viii)</enum><text display-inline="yes-display-inline">the implications for communities vulnerable to health effects of climate change, as well as strategies for responding to climate change within these communities; and</text> </clause>
<clause id="H61903AF4672C4DD3801BC64DA7F227C3"><enum>(ix)</enum><text>local and community-based health interventions for climate-related health impacts;</text> </clause></subparagraph>
<subparagraph id="HC1F5BC15087E48EB90599C56C7A7BC1F"><enum>(B)</enum><text>creating tools for predicting and monitoring the public health effects of climate change on the international, national, regional, State, and local levels, and providing technical support to assist in their implementation;</text> </subparagraph>
<subparagraph id="H9510156DF4DA4848BFEAAEA14452B553"><enum>(C)</enum><text display-inline="yes-display-inline">developing public health communications strategies and interventions for extreme weather events and disaster response situations;</text> </subparagraph>
<subparagraph id="H029A160F1F044B83B94BBDC6A1C9B3F9"><enum>(D)</enum><text display-inline="yes-display-inline">identifying and prioritizing communities and populations vulnerable to the health effects of climate change, and determining actions and communication strategies that should be taken to inform and protect these communities and populations from the health effects of climate change;</text> </subparagraph>
<subparagraph id="H0839E8AF8FC94FAD86502380997B4546"><enum>(E)</enum><text>developing health communication, public education, and outreach programs aimed at public health and health care professionals, as well as the general public, to promote preparedness and response strategies relating to climate change and public health, including the identification of greenhouse gas reduction behaviors that are health-promoting; and</text> </subparagraph>
<subparagraph id="HBFA0B6D0FC97413EBC1320B1A1DB944D"><enum>(F)</enum><text>developing academic and regional centers of excellence devoted to—</text> 
<clause id="H001CB789D54C4A7098F69194008FF3FC"><enum>(i)</enum><text display-inline="yes-display-inline">researching relationships between climate change and health;</text> </clause>
<clause id="HA49C13DF242944EE9F62748463799FDF"><enum>(ii)</enum><text>expanding and training the public health workforce to strengthen the capacity of such workforce to respond to and prepare for the health effects of climate change;</text> </clause>
<clause id="H28FA9C1106B340329982B450CE1583B3"><enum>(iii)</enum><text>creating and supporting academic fellowships focusing on the health effects of climate change; and</text> </clause>
<clause id="H73C5F9F870A34D68819F865D9380FB1C"><enum>(iv)</enum><text>training senior health ministry officials from developing nations to strengthen the capacity of such nations to—</text> 
<subclause id="H835B88856DAF49138538F8970269B4A"><enum>(I)</enum><text>prepare for and respond to the health effects of climate change; and</text> </subclause>
<subclause id="H537C356AE4D242A70089A25452A8AB34"><enum>(II)</enum><text>build an international network of public health professionals with the necessary climate change knowledge base;</text> </subclause></clause></subparagraph>
<subparagraph id="HDB573D92A5E34594ACF9B7141CBB9CE6"><enum>(G)</enum><text display-inline="yes-display-inline">using techniques, including health impact assessments, to assess various climate change public health preparedness and response strategies on international, national, State, regional, tribal, and local levels, and make recommendations as to those strategies that best protect the public health;</text> </subparagraph>
<subparagraph id="H5F192FBEA3394DFB856CC61456E471ED"><enum>(H)</enum>
<clause commented="no" display-inline="yes-display-inline" id="H69D07DD383F945749DECCBAE2D0EE6F"><enum>(i)</enum><text>assisting in the development, implementation, and support of State, regional, tribal, and local preparedness, communication, and response plans (including with respect to the health departments of such entities) to anticipate and reduce the health threats of climate change; and</text> </clause>
<clause id="HF179C43EEBB54E56AEE8200C6F81F00" indent="up1"><enum>(ii)</enum><text display-inline="yes-display-inline">acting through the Director of the Centers for Disease Control and Prevention or an appropriate Federal agency, pursuing collaborative efforts to develop, integrate, and implement such plans;</text> </clause></subparagraph>
<subparagraph id="H261342B9DA7F4FCE94894E9449653998"><enum>(I)</enum><text display-inline="yes-display-inline">acting through the Director of the Centers for Disease Control and Prevention or an appropriate Federal agency, creating a program to advance research as it relates to the effects of climate change on public health across Federal agencies, including research to—</text> 
<clause id="HC3834407702D448887B93457878ED626"><enum>(i)</enum><text display-inline="yes-display-inline">identify and assess climate change health effects preparedness and response strategies;</text> </clause>
<clause id="H0D99EC2804B94F63846B0000F696B7B1"><enum>(ii)</enum><text>prioritize critical public health infrastructure projects related to potential climate change impacts that affect public health; and</text> </clause>
<clause id="H8AFDD07CC1CC4685B946D8CF2D3EC0E4"><enum>(iii)</enum><text>coordinate preparedness for climate change health impacts, including the development of modeling and forecasting tools;</text> </clause></subparagraph>
<subparagraph id="H1AD81A469DB6435B8849542EBF90A7A0"><enum>(J)</enum><text display-inline="yes-display-inline">providing technical assistance for the development, implementation, and support of preparedness and response plans to anticipate and reduce the health threats of climate change in developing nations; and</text> </subparagraph>
<subparagraph id="H602DCB1EE9BE4B2BB949E898A804D57C"><enum>(K)</enum><text display-inline="yes-display-inline">carrying out other activities determined appropriate by the Secretary to plan for and respond to the impacts of climate change on public health.</text> </subparagraph></paragraph></subsection>
<subsection id="H5B47B25854D748B6BE6F6B61AC6DEB00"><enum>(c)</enum><header>Revision</header><text>The Secretary shall revise the national strategic action plan not later than July 1, 2014, and every 4 years thereafter, to reflect new information collected pursuant to implementation of the national strategic action plan and otherwise, including information on—</text> 
<paragraph id="H5B2827CA785F4523AA49B93BA603946B"><enum>(1)</enum><text>the status of critical environmental health parameters and related human health impacts;</text> </paragraph>
<paragraph id="H31DCA713D54B49C8821D19573BE74F2B"><enum>(2)</enum><text>the impacts of climate change on public health; and</text> </paragraph>
<paragraph id="HD3A92DDC8C1F496E9565F609D04D603"><enum>(3)</enum><text>advances in the development of strategies for preparing for and responding to the impacts of climate change on public health.</text> </paragraph></subsection>
<subsection id="H7F6FE720759F4D9EBEF018E5CDB13FEE"><enum>(d)</enum><header>Implementation</header> 
<paragraph id="H7E0855CE8A3642BC9F1539EBFD009139"><enum>(1)</enum><header>Implementation through HHS</header><text>The Secretary shall exercise the Secretary’s authority under this Act and other Federal statutes to achieve the goals and measures of the national strategic action plan.</text> </paragraph>
<paragraph id="H3C9EE51C7EB344629205DF00B6E4FB58"><enum>(2)</enum><header>Other public health programs and initiatives</header><text display-inline="yes-display-inline">The Secretary and Federal officials of other relevant Federal agencies shall administer public health programs and initiatives authorized by statutes other than this Act, subject to the requirements of such statutes, in a manner designed to achieve the goals of the national strategic action plan.</text> </paragraph>
<paragraph id="HCBBA8EAD809546959CAEBC068F3E215F"><enum>(3)</enum><header>CDC</header><text>In furtherance of the national strategic action plan, the Director of the Centers for Disease Control and Prevention shall—</text> 
<subparagraph id="HA1D2FD67913340F5B57009D42CA45C84"><enum>(A)</enum><text>conduct scientific research to assist health professionals in preparing for and responding to the impacts of climate change on public health; and</text> </subparagraph>
<subparagraph id="HDFD91198435E4E5B94EE82FC0039F9B6"><enum>(B)</enum><text>provide funding for—</text> 
<clause id="H61A5FDC204AA49FB99BB493D2365FFAD"><enum>(i)</enum><text>research on the health effects of climate change; and</text> </clause>
<clause id="HC9CF5E071EBC41F6A45381422B867FF3"><enum>(ii)</enum><text>preparedness planning on the international, national, State, regional, and local levels to respond to or reduce the burden of health effects of climate change; and</text> </clause></subparagraph>
<subparagraph id="H71EF8EFE0249469CA479C4DEC7AC1598"><enum>(C)</enum><text>carry out other activities determined appropriate by the Director to prepare for and respond to the impacts of climate change on public health.</text> </subparagraph></paragraph></subsection></section>
<section id="HE656B793E58542CA810153ADEA600017"><enum>5.</enum><header>Advisory board</header> 
<subsection id="HB383A19881744E31B4495046001DB59"><enum>(a)</enum><header>Establishment</header><text>The Secretary shall establish a permanent science advisory board comprised of not less than 10 and not more than 20 members.</text> </subsection>
<subsection id="HCEFDBF9B6EE648CFB3573B32A4805B93"><enum>(b)</enum><header>Appointment of members</header><text>The Secretary shall appoint the members of the science advisory board from among individuals who—</text> 
<paragraph id="HAFFEB969B21B478B9301FB9058937FAE"><enum>(1)</enum><text>are recommended by the President of the National Academy of Sciences; and</text> </paragraph>
<paragraph id="H32A2525F4D0F4E2E98716FB7A59E881E"><enum>(2)</enum><text>have expertise in public health and human services, climate change, and other relevant disciplines.</text> </paragraph></subsection>
<subsection id="H449C6928DFDE44618B24D400AFD36200"><enum>(c)</enum><header>Functions</header><text>The science advisory board shall—</text> 
<paragraph id="HC6EDA6C31408440FBA09BE75787B6DC6"><enum>(1)</enum><text>provide scientific and technical advice and recommendations to the Secretary on the domestic and international impacts of climate change on public health, populations and regions particularly vulnerable to the effects of climate change, and strategies and mechanisms to prepare for and respond to the impacts of climate change on public health; and</text> </paragraph>
<paragraph id="HA551D635812542D20003E2EF936FB798"><enum>(2)</enum><text>advise the Secretary regarding the best science available for purposes of issuing the national strategic action plan.</text> </paragraph></subsection></section>
<section id="H86D0E8F83218420296430743CF8D2B72"><enum>6.</enum><header>Reports</header> 
<subsection id="HF57CA1B98987448C9D2B92504FDF8C01"><enum>(a)</enum><header>Needs assessment</header> 
<paragraph id="H295A05A503B34A948648E29655BE35C8"><enum>(1)</enum><header>In general</header><text>The Secretary shall seek to enter into, by not later than 6 months after the date of the enactment of this Act, an agreement with the National Research Council and the Institute of Medicine to complete a report that—</text> 
<subparagraph id="HE1EEE0C390CA42E3BD560014CE81FA8D"><enum>(A)</enum><text>assesses the needs for health professionals to prepare for and respond to climate change impacts on public health; and</text> </subparagraph>
<subparagraph id="H1B7ED7276F48402D929C235995521779"><enum>(B)</enum><text>recommends programs to meet those needs.</text> </subparagraph></paragraph>
<paragraph id="HD68239D4018A4E4B88D301D27BFA015E"><enum>(2)</enum><header>Submission</header><text>The agreement under paragraph (1) shall require the completed report to be submitted to the Congress and the Secretary and made publicly available not later than 1 year after the date of the agreement.</text> </paragraph></subsection>
<subsection id="H5D623141E0074DACAED18CDD6D4400DE"><enum>(b)</enum><header>Climate change health protection and promotion reports</header> 
<paragraph id="HEF417732B21A426091481605798D6D00"><enum>(1)</enum><header>In general</header><text>The Secretary shall offer to enter into, not later than 6 months after the submission of the report under subsection (a)(2), an agreement with the National Research Council and the Institute of Medicine, under which the National Research Council and the Institute of Medicine will prepare periodic reports to aid health professionals in preparing for and responding to the adverse health effects of climate change that—</text> 
<subparagraph id="HEAF98616C31F454FA77399914BCAC8F6"><enum>(A)</enum><text>review scientific developments on health impacts of climate change; and</text> </subparagraph>
<subparagraph id="H01469048D54F4FEFB41B956B0096FDC3"><enum>(B)</enum><text>recommend changes to the national strategic action plan.</text> </subparagraph></paragraph>
<paragraph id="H95AFF4EE8E994A48A0BB6F37367F0166"><enum>(2)</enum><header>Submission</header><text>The agreement under paragraph (1) shall require a report to be submitted to the Congress and the Secretary and made publicly available not later than July 1, 2013, and every 4 years thereafter.</text> </paragraph></subsection></section>
<section id="HA1567EE58D0148C18B0A9E77FA6C8FAC"><enum>7.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act:</text> 
<paragraph id="H43D8A5CCCB674E9DAC6C45E64B69D972"><enum>(1)</enum><header>Health impact assessment</header><text>The term <term>health impact assessment</term> means a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.</text> </paragraph>
<paragraph id="HF5885FDE3023474B8FB6548588CE2DCF"><enum>(2)</enum><header>National strategic action plan</header><text>The term <term>national strategic action plan</term> means the plan issued and revised under section 4.</text> </paragraph>
<paragraph id="HB59ECA1583414545902416F1ACA4CCBB"><enum>(3)</enum><header>Secretary</header><text>Unless otherwise specified, the term <term>Secretary</term> means the Secretary of Health and Human Services.</text> </paragraph></section>
<section id="HE8053D3544CF41A98CA36363C8B57A9F"><enum>8.</enum><header>Authorization of appropriations</header> 
<subsection id="HDAF2DD86159F43039F4C5DF37366C728"><enum>(a)</enum><header>In general</header><text>There are authorized to be appropriated such sums as may be necessary to carry out this Act.</text> </subsection>
<subsection id="H3E8813810011485EA3003556DCE1FC00"><enum>(b)</enum><header>Appropriations to HHS</header><text>All funds appropriated to carry out this Act shall be appropriated to the Secretary.</text> </subsection>
<subsection id="HEF66A2333B904042B6DB99F448F9F9B4"><enum>(c)</enum><header>Distribution of funds by HHS</header><text>In carrying out this Act, the Secretary may make funds appropriated pursuant to this section available to—</text> 
<paragraph id="H4A54B0AE081B4094ABE8FD676CFF710"><enum>(1)</enum><text>other departments, agencies, and offices of the Federal Government;</text> </paragraph>
<paragraph id="H8EB07B04DDA84592A50860091FEEE656"><enum>(2)</enum><text>foreign, State, tribal, and local governments; and</text> </paragraph>
<paragraph id="HF1D6886FD84F4AD4B5734900D6B2F224"><enum>(3)</enum><text>such other entities as the Secretary determines appropriate.</text> </paragraph></subsection>
<subsection id="H26D4E51E95FE40FBA84577A9392B9345"><enum>(d)</enum><header>Supplement, not replace</header><text>It is the intent of the Congress that funds appropriated to carry out this Act should be used to supplement, and not replace, existing sources of funding for public health.</text> </subsection></section>
</legis-body> 
</bill> 
