[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 2645 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 720
118th CONGRESS
  2d Session
                                S. 2645

    To reduce the health risks of heat by establishing the National 
 Integrated Heat Health Information System within the National Oceanic 
and Atmospheric Administration and the National Integrated Heat Health 
   Information System Interagency Committee to improve extreme heat 
     preparedness, planning, and response, requiring a study, and 
establishing financial assistance programs to address heat effects, and 
                          for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 27, 2023

   Mr. Markey (for himself, Mr. Padilla, Ms. Sinema, Mr. Wyden, Mr. 
Blumenthal, Mr. Sanders, Mrs. Feinstein, Mr. Heinrich, Mr. Whitehouse, 
 Mr. Kelly, and Mr. Merkley) introduced the following bill; which was 
  read twice and referred to the Committee on Commerce, Science, and 
                             Transportation

            December 17 (legislative day, December 16), 2024

              Reported by Ms. Cantwell, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
    To reduce the health risks of heat by establishing the National 
 Integrated Heat Health Information System within the National Oceanic 
and Atmospheric Administration and the National Integrated Heat Health 
   Information System Interagency Committee to improve extreme heat 
     preparedness, planning, and response, requiring a study, and 
establishing financial assistance programs to address heat effects, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Preventing Health 
Emergencies And Temperature-related Illness and Deaths Act of 2023'' or 
the ``Preventing HEAT Illness and Deaths Act of 2023''.</DELETED>

<DELETED>SEC. 2. DEFINITIONS.</DELETED>

<DELETED>    In this Act:</DELETED>
        <DELETED>    (1) Community with environmental justice 
        concerns.--The term ``community with environmental justice 
        concerns'' means a community with significant representation of 
        communities of color, low-income communities, or Tribal and 
        indigenous communities, that experiences, or is at risk of 
        experiencing, higher or more adverse human health or 
        environmental effects, as compared to other 
        communities.</DELETED>
        <DELETED>    (2) Extreme heat.--The term ``extreme heat'' means 
        heat that substantially exceeds local climatological norms in 
        terms of any combination of the following:</DELETED>
                <DELETED>    (A) Duration.</DELETED>
                <DELETED>    (B) Intensity.</DELETED>
                <DELETED>    (C) Season length.</DELETED>
                <DELETED>    (D) Frequency.</DELETED>
        <DELETED>    (3) Heat.--The term ``heat'' means any combination 
        of the atmospheric parameters associated with modulating human 
        thermal regulation, such as air temperature, humidity, solar 
        exposure, and wind speed.</DELETED>
        <DELETED>    (4) Heat event.--The term ``heat event'' means an 
        occurrence of increased heat that may have heat-health 
        implications.</DELETED>
        <DELETED>    (5) Heat-health.--The term ``heat-health'' means 
        health effects to humans from heat, during or outside of heat 
        events, including from vulnerability and exposure, or the risk 
        of such effects.</DELETED>
        <DELETED>    (6) Planning.--The term ``planning'' means 
        activities performed across timescales (including days, weeks, 
        months, years, and decades) with scenario-based, probabilistic 
        or deterministic information to identify and take actions to 
        proactively mitigate heat-health risks from increased 
        frequency, duration, and intensity of heat waves and increased 
        ambient temperature.</DELETED>
        <DELETED>    (7) Preparedness.--The term ``preparedness'' means 
        activities performed across timescales (including days, weeks, 
        months, years, and decades) with probabilistic or deterministic 
        information to manage risk in advance of a heat event and 
        increased ambient temperature.</DELETED>
        <DELETED>    (8) Tribal government.--The term ``Tribal 
        government'' means the recognized governing body of any Indian 
        or Alaska Native tribe, band, nation, pueblo, village, 
        community, component band, or component reservation, 
        individually identified (including parenthetically) in the list 
        published most recently as of the date of enactment of this Act 
        pursuant to section 104 of the Federally Recognized Indian 
        Tribe List Act of 1994 (25 U.S.C. 5131).</DELETED>
        <DELETED>    (9) Urban heat island.--The term ``urban heat 
        island'' means the phenomenon observed in urbanized areas in 
        which heat is more extreme than in the surrounding exurban 
        areas and heat is heterogeneously distributed within urbanized 
        areas, due to factors including--</DELETED>
                <DELETED>    (A) low albedo and impervious 
                surfaces;</DELETED>
                <DELETED>    (B) low vegetation coverage; and</DELETED>
                <DELETED>    (C) waste heat produced in urban 
                areas.</DELETED>

<DELETED>SEC. 3. FINDINGS.</DELETED>

<DELETED>    Congress makes the following findings:</DELETED>
        <DELETED>    (1) Extreme heat events have been the leading 
        cause of weather-related death in the United States over the 
        last 30 years, according to the Centers for Disease Control and 
        Prevention and the National Weather Service.</DELETED>
        <DELETED>    (2) The fourth National Climate Assessment, 
        mandated by the Global Change Research Act of 1990 (15 U.S.C. 
        2921 et seq.), finds that during the next few decades, annual 
        average temperature over the contiguous United States is 
        projected to increase by a further 2.2F relative to current 
        temperatures, regardless of future scenarios. The National 
        Climate Assessment projects that the frequency and intensity of 
        extreme heat events will increase in the future as global 
        temperature increases.</DELETED>
        <DELETED>    (3) Exposure to extreme heat can cause acute heat-
        related illnesses, such as heat stroke, which already result in 
        more than 65,000 emergency room visits each year and exacerbate 
        respiratory and cardiovascular illnesses.</DELETED>
        <DELETED>    (4) Heat poses the greatest health risks for 
        adults older than 65 years of age, pregnant people, young 
        children, low-income communities, urban communities, 
        communities with low air conditioning prevalence, socially 
        isolated individuals, people with mental or physical 
        disabilities, people with underlying medical conditions, 
        agricultural or other outdoor workers, workers without 
        sufficient access to cooling, athletes, incarcerated 
        individuals, people experiencing homelessness, and military 
        personnel.</DELETED>
        <DELETED>    (5) Extreme heat is significantly associated with 
        serious adverse pregnancy outcomes across the United States. 
        Those adverse pregnancy outcomes disproportionately impact 
        Black mothers.</DELETED>
        <DELETED>    (6) Heat exposure is an issue of environmental 
        justice, as people living in low-income communities, 
        communities of color, and Tribal nations face a number of 
        interacting factors that render them more vulnerable to extreme 
        heat.</DELETED>
        <DELETED>    (7) The impacts of heat on human health are more 
        severe in urban areas where land surface properties create an 
        urban heat island, particularly in neighborhoods with limited 
        availability of or access to green spaces, shade, and tree 
        cover, due to higher density of building structures and more 
        vehicular traffic.</DELETED>
        <DELETED>    (8) Limited availability of tree cover and higher 
        temperatures are correlated with low-income neighborhoods in 
        urban areas. In Richmond, Virginia, Baltimore, Maryland, and 
        Washington, DC, researchers found that risk of exposure to 
        extreme heat is disproportionately distributed to communities 
        of color in patterns associated with segregation and 
        redlining.</DELETED>
        <DELETED>    (9) Researchers have found that few communities in 
        the United States have sufficient climate and health 
        information, guidance, and resources for heat planning, 
        preparedness, and response.</DELETED>
        <DELETED>    (10) The risks associated with extreme heat have 
        complex interactions and impacts, and the management of those 
        risks requires a transdisciplinary approach.</DELETED>
        <DELETED>    (11) Regions, communities, and populations that 
        face the greatest health consequences of extreme heat often may 
        experience the lowest heat risk perceptions, have limited 
        incentives, or have access to the fewest resources for 
        responding to extreme heat, and as such, may be less likely to 
        take precautions.</DELETED>
        <DELETED>    (12) Research on the impacts of extreme heat on 
        human health and the effectiveness of solutions under varying 
        climate, social, and other contexts is stymied by a lack of 
        access to reliable, timely health observations and surveillance 
        due to proprietary data rights, expense, privacy and security 
        concerns, inconsistent reporting of health outcomes and 
        contributory factors, poor data integration and 
        interoperability, few incentives and little systematic 
        coordination to address those problems, and a lack of adequate 
        climate observation, modeling, and assessment in rural, urban, 
        indoor, and occupational settings.</DELETED>
        <DELETED>    (13) Integrated climate and health research and 
        information, when developed in a collaborative, 
        transdisciplinary manner, can inform long- and medium-range 
        scenario-based planning and decision making to protect 
        vulnerable communities and populations from extreme heat, 
        reduce exposure to extreme heat, and address factors that 
        increase vulnerability.</DELETED>
        <DELETED>    (14) Increased heat can have cascading and 
        compounding impacts across and among sectors including energy, 
        food supply and quality, transportation, housing, 
        infrastructure, hospital and healthcare delivery, and 
        education, all of which affect health and well-being.</DELETED>
        <DELETED>    (15) Heat action plans and early warning systems 
        can reduce heat-related morbidity and mortality by clearly 
        identifying roles and responsibilities as well as evidence-
        based actions and thresholds to enhance preparedness, and by 
        promoting behavior changes and actions taken by local 
        governments, communities, and individuals through awareness and 
        increased risk perception among those most vulnerable to the 
        health impacts of heat.</DELETED>

<DELETED>SEC. 4. NATIONAL INTEGRATED HEAT HEALTH INFORMATION SYSTEM 
              INTERAGENCY COMMITTEE.</DELETED>

<DELETED>    (a) Establishment of Committee.--There is established 
within the Office of Science and Technology Policy an interagency 
committee, to be known as the ``National Integrated Heat Health 
Information System Interagency Committee'' (in this section referred to 
as the ``Committee'').</DELETED>
<DELETED>    (b) Purpose.--The Committee shall coordinate, plan, and 
direct agencies represented on the Committee to execute, as 
appropriate, activities across such agencies to ensure a united Federal 
approach to reducing health risks from heat across timescales 
(including days, weeks, months, years, and decades).</DELETED>
<DELETED>    (c) Membership.--</DELETED>
        <DELETED>    (1) In general.--In order to carry out and achieve 
        the purpose described in subsection (b), the Committee shall 
        include the following:</DELETED>
                <DELETED>    (A) The Director of the National 
                Integrated Heat Health Information System.</DELETED>
                <DELETED>    (B) Not fewer than 1 representative from 
                each of the following:</DELETED>
                        <DELETED>    (i) From the Department of 
                        Commerce, the following:</DELETED>
                                <DELETED>    (I) From the National 
                                Oceanic and Atmospheric Administration, 
                                the following:</DELETED>
                                        <DELETED>    (aa) The National 
                                        Weather Service.</DELETED>
                                        <DELETED>    (bb) The Office of 
                                        Oceanic and Atmospheric 
                                        Research.</DELETED>
                                        <DELETED>    (cc) The National 
                                        Environmental Satellite, Data, 
                                        and Information 
                                        Service.</DELETED>
                                <DELETED>    (II) The National 
                                Institute of Standards and 
                                Technology.</DELETED>
                                <DELETED>    (III) The Bureau of the 
                                Census.</DELETED>
                        <DELETED>    (ii) From the Department of Health 
                        and Human Services, the following:</DELETED>
                                <DELETED>    (I) The Centers for 
                                Disease Control and Prevention, 
                                including the National Institute for 
                                Occupational Safety and 
                                Health.</DELETED>
                                <DELETED>    (II) The Office of the 
                                Assistant Secretary of Health and Human 
                                Services for Preparedness and 
                                Response.</DELETED>
                                <DELETED>    (III) The Substance Abuse 
                                and Mental Health Services 
                                Administration.</DELETED>
                                <DELETED>    (IV) The National 
                                Institutes of Health.</DELETED>
                                <DELETED>    (V) The Indian Health 
                                Service.</DELETED>
                        <DELETED>    (iii) From the Department of the 
                        Interior, the following:</DELETED>
                                <DELETED>    (I) The Bureau of Indian 
                                Affairs.</DELETED>
                                <DELETED>    (II) The Bureau of Land 
                                Management.</DELETED>
                                <DELETED>    (III) The National Park 
                                Service.</DELETED>
                        <DELETED>    (iv) From the Environmental 
                        Protection Agency, the following:</DELETED>
                                <DELETED>    (I) The Office of 
                                Environmental Justice.</DELETED>
                                <DELETED>    (II) The Office of Air and 
                                Radiation, if the Administrator of the 
                                Environmental Protection Agency 
                                determines appropriate.</DELETED>
                                <DELETED>    (III) The Office of 
                                Research and Development, if the 
                                Administrator determines 
                                appropriate.</DELETED>
                                <DELETED>    (IV) The Office of 
                                International and Tribal 
                                Affairs.</DELETED>
                        <DELETED>    (v) The Federal Emergency 
                        Management Agency.</DELETED>
                        <DELETED>    (vi) The Department of 
                        Defense.</DELETED>
                        <DELETED>    (vii) The Department of 
                        Agriculture.</DELETED>
                        <DELETED>    (viii) The Department of Housing 
                        and Urban Development.</DELETED>
                        <DELETED>    (ix) The Department of 
                        Transportation.</DELETED>
                        <DELETED>    (x) The Department of 
                        Energy.</DELETED>
                        <DELETED>    (xi) The Department of Labor, 
                        including the Occupational Safety and Health 
                        Administration.</DELETED>
                        <DELETED>    (xii) The Department of Veteran 
                        Affairs.</DELETED>
                        <DELETED>    (xiii) Such other Federal agencies 
                        as the Director of the Office of Science and 
                        Technology Policy considers 
                        appropriate.</DELETED>
        <DELETED>    (2) Selection of representatives.--The head of an 
        agency specified in paragraph (1)(B) shall, in appointing 
        representatives of the agency to the Committee, select 
        representatives who have expertise in areas relevant to the 
        responsibilities of the Committee, such as weather and climate 
        prediction, health impacts, environmental justice, behavioral 
        science, public health hazard preparedness and response, or 
        mental health services.</DELETED>
        <DELETED>    (3) Co-chairs.--</DELETED>
                <DELETED>    (A) In general.--The members of the 
                Committee shall select 2 individuals from among such 
                members to serve as co-chairs of the Committee, subject 
                to the approval of the Director of the Office of 
                Science and Technology Policy.</DELETED>
                <DELETED>    (B) Selection.--</DELETED>
                        <DELETED>    (i) Initial selection.--Of the co-
                        chairs first selected, one co-chair shall be 
                        from the National Oceanic and Atmospheric 
                        Administration and one co-chair shall be from 
                        the Centers for Disease Control and 
                        Prevention.</DELETED>
                        <DELETED>    (ii) Subsequent selection.--
                        Subsequent co-chairs shall be selected from 
                        among the members of the Committee.</DELETED>
                <DELETED>    (C) Terms.--Each co-chair shall serve for 
                a term of not more than 5 years.</DELETED>
                <DELETED>    (D) Responsibilities of co-chairs.--The 
                co-chairs of the Committee shall work with the Director 
                of the National Integrated Heat Health Information 
                System--</DELETED>
                        <DELETED>    (i) to determine the agenda of the 
                        Committee, in consultation with other members 
                        of the Committee;</DELETED>
                        <DELETED>    (ii) to direct the work of the 
                        Committee; and</DELETED>
                        <DELETED>    (iii) to convene meetings of the 
                        Committee not less frequently than once each 
                        fiscal quarter.</DELETED>
<DELETED>    (d) Responsibilities of Committee.--The Committee shall 
promote an integrated, Federal Government-wide approach to reducing 
health risks and impacts of heat, including by--</DELETED>
        <DELETED>    (1) developing the strategic plan required by 
        subsection (e);</DELETED>
        <DELETED>    (2) coordinating across Federal agencies on heat-
        health communication, research, service delivery, and workforce 
        development; and</DELETED>
        <DELETED>    (3) building capacity and partnerships with 
        Federal and non-Federal entities.</DELETED>
<DELETED>    (e) Strategic Plan.--</DELETED>
        <DELETED>    (1) In general.--Not later than 2 years after the 
        date of the enactment of this Act, the Committee shall submit 
        to Congress and make available on a public website a 5-year 
        integrated strategic plan that outlines the goals and projects 
        of the Committee, including how the Committee will improve 
        coordination and integration of interagency Federal actions to 
        address health risks of heat, including--</DELETED>
                <DELETED>    (A) a strategy for improving and 
                coordinating existing Federal data collection and data 
                management to include sharing of data and statistics on 
                heat-related illnesses and mortalities and other 
                impacts to inform heat-related activities;</DELETED>
                <DELETED>    (B) a strategy for improving and 
                coordinating Federal activities to understand user gaps 
                and needs, conduct research, foster innovative 
                solutions, and provide actionable information and 
                services; and</DELETED>
                <DELETED>    (C) mechanisms for financing heat 
                preparedness within such agencies as the Committee 
                considers appropriate.</DELETED>
        <DELETED>    (2) Implementation plans.--The head of an agency 
        represented on the Committee may implement the portions of the 
        strategic plan required by paragraph (1) that are relevant to 
        that agency by developing and implementing a multi-year 
        implementation plan.</DELETED>
        <DELETED>    (3) Updates.--Not later than 5 years after the 
        submission of the strategic plan required by paragraph (1), and 
        every 5 years thereafter, the Committee shall submit to 
        Congress an update of the plan, which shall include progress 
        made toward goals outlined in the plan and new priorities that 
        emerge.</DELETED>
<DELETED>    (f) Administrative Support.--The Administrator of the 
National Oceanic and Atmospheric Administration shall provide technical 
and administrative support to the Committee, using amounts authorized 
to be appropriated to the Administration.</DELETED>
<DELETED>    (g) Consultation.--In carrying out the responsibilities of 
the Committee, the Committee shall consult with relevant regional, 
State, Tribal, and local governments, international organizations and 
partners, research institutions, nongovernmental organizations and 
associations, and medical experts with expertise in emergency response, 
environmental health, economic or business development, or community 
engagement.</DELETED>

<DELETED>SEC. 5. NATIONAL INTEGRATED HEAT HEALTH INFORMATION 
              SYSTEM.</DELETED>

<DELETED>    (a) Establishment.--The Under Secretary of Commerce for 
Oceans and Atmosphere shall establish within the National Oceanic and 
Atmospheric Administration a system, to be known as the ``National 
Integrated Heat Health Information System'' (NIHHIS) (in this section 
referred to as the ``System'').</DELETED>
<DELETED>    (b) Purpose.--The purpose of the System is to improve the 
capacity of weather, subseasonal, and seasonal forecasts for the United 
States to allow the Federal Government and stakeholders to plan, 
prepare for, adapt to, and mitigate health risks of extreme heat across 
multiple timescales.</DELETED>
<DELETED>    (c) Director.--The System shall be headed by a 
Director.</DELETED>
<DELETED>    (d) Responsibilities.--In carrying out the purpose 
described in subsection (b), the Director shall--</DELETED>
        <DELETED>    (1) develop and sustain robust relationships with 
        Federal and non-Federal partners and decisionmakers--</DELETED>
                <DELETED>    (A) to respond to the demand for 
                actionable weather- and climate-related information 
                that reduces health risks on multiple 
                timescales;</DELETED>
                <DELETED>    (B) to conduct research and scientific 
                innovation; and</DELETED>
                <DELETED>    (C) to develop and deliver timely and 
                accessible decision support services, solutions, tools, 
                and information to inform planning, preparedness, and 
                risk-reducing actions across timescales;</DELETED>
        <DELETED>    (2) coordinate and collaborate with the 
        international community and global partners to conduct research 
        and learn from, leverage, and contribute to global knowledge as 
        it pertains to predicting and preventing the impacts of 
        increased heat;</DELETED>
        <DELETED>    (3) enhance observations, surveillance, 
        monitoring, and analysis necessary for the activities described 
        in paragraphs (1) and (2); and</DELETED>
        <DELETED>    (4) communicate, educate, and build awareness 
        regarding the risks and impacts of increased heat and extreme 
        heat events to communities, educational and economic sectors, 
        Tribal governments, and other relevant stakeholders.</DELETED>
<DELETED>    (e) Data Management.--</DELETED>
        <DELETED>    (1) Availability.--The Director shall coordinate 
        with interagency partners to ensure that data and metadata 
        associated with the System is fully and openly available, 
        within the legal right to redistribute, in accordance with 
        chapter 31 of title 44, United States Code (commonly known as 
        the ``Federal Records Act of 1950''), and the Federal Evidence-
        Based Policymaking Act of 2018 (Public Law 115-435;132 Stat. 
        5529) and the amendments made by that Act, to maximize use of 
        such data to support the goals of the System.</DELETED>
        <DELETED>    (2) National centers for environmental 
        information.--The Under Secretary of Commerce for Oceans and 
        Atmosphere shall manage, maintain, and steward archival data 
        and metadata associated with the System within the National 
        Centers for Environmental Information.</DELETED>
<DELETED>    (f) Research Program.--The Director shall develop and 
implement a climate and health research grant program, in coordination 
with the financial assistance program under section 7 and other Federal 
programs--</DELETED>
        <DELETED>    (1) to improve understanding of--</DELETED>
                <DELETED>    (A) the climate epidemiology and social, 
                behavioral, and economic drivers of heat-health 
                vulnerability and risk;</DELETED>
                <DELETED>    (B) the drivers of climate variability, 
                predictability, and changes in extreme heat; 
                and</DELETED>
                <DELETED>    (C) the impacts of extreme heat, compound 
                hazards, and cascading impacts across 
                timescales;</DELETED>
        <DELETED>    (2) to investigate and evaluate the effectiveness 
        of risk management actions, interventions, policies, standards, 
        codes, and guidelines; and</DELETED>
        <DELETED>    (3) to address other topics as appropriate, 
        including topics outlined in the strategic plan required by 
        section 4(e)(1) and the financial assistance program under 
        section 7.</DELETED>
<DELETED>    (g) Additional Activities.--The Director shall carry out 
such other activities as the Committee considers appropriate.</DELETED>

<DELETED>SEC. 6. STUDY ON EXTREME HEAT INFORMATION AND 
              RESPONSE.</DELETED>

<DELETED>    (a) Study.--</DELETED>
        <DELETED>    (1) In general.--Not later than 120 days after the 
        date of the enactment of this Act, the Under Secretary of 
        Commerce for Oceans and Atmosphere, in consultation with the 
        National Integrated Heat Health Information System Interagency 
        Committee and the individuals and entities described in section 
        4(g), shall seek to enter into an agreement with the National 
        Academies of Sciences, Engineering, and Medicine to conduct a 
        study on extreme heat information and response, to be completed 
        not later than 3 years after such date of enactment.</DELETED>
        <DELETED>    (2) Elements.--The study described in paragraph 
        (1) shall--</DELETED>
                <DELETED>    (A) identify policy and research gaps, 
                which may include--</DELETED>
                        <DELETED>    (i) regions of the United States 
                        with the largest gaps between awareness, 
                        preparedness, and capacity to address extreme 
                        heat; and</DELETED>
                        <DELETED>    (ii) heat-related gaps in data, 
                        such as--</DELETED>
                                <DELETED>    (I) the number of schools, 
                                prisons, and other public facilities 
                                that lack air conditioning;</DELETED>
                                <DELETED>    (II) the demographic 
                                breakdown of people affected by heat 
                                events, including by race, age, gender, 
                                occupation, and income;</DELETED>
                                <DELETED>    (III) medical coding in 
                                health care facilities (such as 
                                hospitals, emergency rooms, and health 
                                centers) that indicate heat-related 
                                illnesses (such as kidney failure, 
                                dehydration, and fainting spells); 
                                and</DELETED>
                                <DELETED>    (IV) with respect to 
                                public policy at the State and 
                                community level that enhance 
                                vulnerabilities to extreme heat (such 
                                as outdoor working conditions and 
                                thresholds to protect workers, animals, 
                                and others susceptible to heat-related 
                                illness);</DELETED>
                <DELETED>    (B) provide recommendations for addressing 
                gaps with respect to policy, research, operations, 
                communications, and data, including the gaps identified 
                under subparagraph (A), affecting heat-health planning, 
                preparedness, response, resilience, adaptation, and 
                environmental justice and equity;</DELETED>
                <DELETED>    (C) provide such other recommendations as 
                the Director considers appropriate, which may include 
                strategies for--</DELETED>
                        <DELETED>    (i) communicating warnings to and 
                        providing impact-based decision support to 
                        promote preparedness actions and resilience of 
                        populations vulnerable to extreme 
                        heat;</DELETED>
                        <DELETED>    (ii) understanding compound and 
                        cascading risks, and implementing alternative 
                        heat-health risk reduction interventions to 
                        manage those risks collectively, such as 
                        reducing risk of the transmission of infectious 
                        diseases during heat waves by creating outdoor 
                        cooling locations or increasing ventilation and 
                        filtration in indoor cooling centers;</DELETED>
                        <DELETED>    (iii) promoting community 
                        resilience to heat events and incorporating 
                        principles of environmental justice in 
                        community response to heat waves;</DELETED>
                        <DELETED>    (iv) addressing the impacts of 
                        extreme heat on energy cost, affordability, and 
                        reliability for residential and commercial 
                        infrastructure (such as weatherization, energy 
                        costs, electric power systems, and water supply 
                        and treatment systems); and</DELETED>
                        <DELETED>    (v) establishing labor and other 
                        standards for workers and heat; and</DELETED>
                <DELETED>    (D) consider such other subjects as the 
                Committee considers appropriate, which may include--
                </DELETED>
                        <DELETED>    (i) the feasibility of enhancing 
                        and standardizing existing nationwide data 
                        collection on heat-related illnesses and 
                        mortalities to improve and ensure consistent 
                        collection of national-level heat illness data 
                        across all 50 States, territories, and local 
                        jurisdictions of the United States;</DELETED>
                        <DELETED>    (ii) mechanisms for financing heat 
                        preparedness; and</DELETED>
                        <DELETED>    (iii) the effectiveness of county- 
                        or local-level heat awareness and communication 
                        approaches, heat action, and tools, 
                        preparedness plans, or mitigation.</DELETED>
        <DELETED>    (3) Development of definitions.--Following the 
        study described in paragraph (1), the Committee shall work with 
        heat experts across disciplines to comprehensively identify 
        impacts of increased heat to inform consistent and agreed upon 
        definitions for heat events, heat waves, and other relevant 
        terms.</DELETED>
<DELETED>    (b) Report.--Not later than 90 days after completing the 
study described in subsection (a)(1), the Committee shall--</DELETED>
        <DELETED>    (1) make available to the public on a Federal 
        internet website of the National Oceanic and Atmospheric 
        Administration a report on the findings and conclusions of the 
        study; and</DELETED>
        <DELETED>    (2) submit the report to--</DELETED>
                <DELETED>    (A) the Committee on Commerce, Science, 
                and Transportation of the Senate;</DELETED>
                <DELETED>    (B) the Committee on Health, Education, 
                Labor, and Pensions of the Senate;</DELETED>
                <DELETED>    (C) the Committee on Science, Space, and 
                Technology of the House of Representatives;</DELETED>
                <DELETED>    (D) the Committee on Energy and Commerce 
                of the House of Representatives; and</DELETED>
                <DELETED>    (E) the Committee on Education and Labor 
                of the House of Representatives.</DELETED>

<DELETED>SEC. 7. FINANCIAL ASSISTANCE FOR RESILIENCE IN ADDRESSING 
              EXTREME HEAT AND HEALTH RISKS.</DELETED>

<DELETED>    (a) In General.--</DELETED>
        <DELETED>    (1) Establishment.--Not later than 1 year after 
        the date of the enactment of this Act, the Director of the 
        National Integrated Heat Health Information System may, in 
        coordination with the National Integrated Heat Health 
        Information System Interagency Committee, establish and 
        administer a community heat resilience program to provide 
        financial assistance to eligible entities to carry out projects 
        described in subsection (e) to ameliorate human health impacts 
        of extreme heat events.</DELETED>
        <DELETED>    (2) Revision.--Upon completion of the strategic 
        plan required by section 4(e)(1), the Committee may revise the 
        community heat resilience program to ensure the program aligns 
        with the strategic plan and is administered in accordance with 
        the plan.</DELETED>
<DELETED>    (b) Purpose.--The purpose of the financial assistance 
provided under this section is to improve community resilience to heat 
and heat-health impacts and further scientific research to address 
adaptation gaps and priorities.</DELETED>
<DELETED>    (c) Forms of Assistance.--Financial assistance provided 
under this section may be in the form of prizes, contracts, grants, or 
cooperative agreements.</DELETED>
<DELETED>    (d) Eligible Entities.--Entities eligible to receive 
financial assistance under this section to carry out projects described 
in subsection (e) include--</DELETED>
        <DELETED>    (1) nonprofit entities;</DELETED>
        <DELETED>    (2) States;</DELETED>
        <DELETED>    (3) Tribal governments;</DELETED>
        <DELETED>    (4) local governments;</DELETED>
        <DELETED>    (5) local workforce development boards; 
        and</DELETED>
        <DELETED>    (6) academic institutions.</DELETED>
<DELETED>    (e) Eligible Projects.--Projects described in this 
subsection include the following:</DELETED>
        <DELETED>    (1) Projects to reduce heat-health risks, 
        including sustainable heat reduction and mitigation solutions 
        such as for cool roofs, cool pavements, urban forestry or tree 
        plantings and maintenance, the provision of shade, cooling and 
        resilience centers, retrofitting buildings for cooling, 
        improving the resilience of the power grid to ensure reliable 
        air conditioning, energy efficiency, acquisitions or upgrades 
        of filtration systems or high-efficiency air conditioning 
        systems, and strategies to improve community level response 
        before and during a heat event.</DELETED>
        <DELETED>    (2) Training programs to support the development 
        and integration of education and training programs for 
        identifying and addressing risks associated with climate change 
        for vulnerable individuals.</DELETED>
        <DELETED>    (3) Projects focusing on being responsive to heat-
        related needs from communities heard from engagements at 
        different geographic scales (national to regional to local) 
        including--</DELETED>
                <DELETED>    (A) to expand public awareness of heat 
                risks;</DELETED>
                <DELETED>    (B) to conduct community-based climate and 
                health observational campaigns;</DELETED>
                <DELETED>    (C) to conduct scientific research to 
                assess gaps and priorities regarding the risks of 
                extreme heat in communities;</DELETED>
                <DELETED>    (D) to communicate risks and warnings to 
                isolated communities;</DELETED>
                <DELETED>    (E) to support the establishment of 
                workplace policies and practices to reduce the risk of 
                extreme heat illness among workers;</DELETED>
                <DELETED>    (F) to educate such communities about how 
                to respond to extreme heat events; and</DELETED>
                <DELETED>    (G) to establish local, city, and county 
                heat planning and heat-related emergency action 
                plans.</DELETED>
        <DELETED>    (4) Other projects that the Director determines 
        will achieve a significant reduction in heat exposure or 
        increased resilience to increased heat or extreme heat 
        events.</DELETED>
<DELETED>    (f) Priorities.--In selecting eligible entities to receive 
financial assistance under this section, the Director shall prioritize 
entities that will carry out projects that provide benefits for 
historically disadvantaged communities and communities with significant 
heat disparities associated with race, ethnicity, or income.</DELETED>
<DELETED>    (g) Distribution of Assistance.--</DELETED>
        <DELETED>    (1) Communities with environmental justice 
        concerns and low income communities.--Not less than 40 percent 
        of the amount of financial assistance provided under this 
        section in any fiscal year shall be provided to eligible 
        entities to implement projects described in subsection (e) in 
        communities with environmental justice concerns or low-income 
        communities.</DELETED>
        <DELETED>    (2) Equitable distribution.--The Director shall 
        seek to equitably distribute financial assistance provided 
        under this section based on geographic location or such other 
        factors as the Director determines appropriate.</DELETED>

<DELETED>SEC. 8. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    (a) National Integrated Heat Health Information System 
Interagency Committee; National Integrated Heat Health Information 
System.--There is authorized to be appropriated to the National Oceanic 
and Atmospheric Administration to carry out sections 4 and 5, including 
for any administrative costs for the National Integrated Heat Health 
Information System Interagency Committee and the National Integrated 
Heat Health Information System, the following:</DELETED>
        <DELETED>    (1) For fiscal year 2024, $20,000,000.</DELETED>
        <DELETED>    (2) For fiscal year 2025, $20,000,000.</DELETED>
        <DELETED>    (3) For fiscal year 2026, $20,000,000.</DELETED>
        <DELETED>    (4) For fiscal year 2027, $20,000,000.</DELETED>
        <DELETED>    (5) For fiscal year 2028, $20,000,000.</DELETED>
<DELETED>    (b) Study on Extreme Heat Information and Response.--There 
is authorized to be appropriated to the National Oceanic and 
Atmospheric Administration to contract with the National Academies of 
Sciences, Engineering, and Medicine to carry out section 6 $500,000 for 
each of fiscal years 2024 through 2026.</DELETED>
<DELETED>    (c) Financial Assistance for Resilience in Addressing 
Extreme Heat and Health Risks.--There is authorized to be appropriated 
to the National Oceanic and Atmospheric Administration to carry out 
section 7 the following:</DELETED>
        <DELETED>    (1) For fiscal year 2024, $10,000,000.</DELETED>
        <DELETED>    (2) For fiscal year 2025, $10,000,000.</DELETED>
        <DELETED>    (3) For fiscal year 2026, $20,000,000.</DELETED>
        <DELETED>    (4) For fiscal year 2027, $30,000,000.</DELETED>
        <DELETED>    (5) For fiscal year 2028, $30,000,000.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preventing Health Emergencies And 
Temperature-related Illness and Deaths Act of 2024'' or the 
``Preventing HEAT Illness and Deaths Act of 2024''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Extreme heat.--The term ``extreme heat'' means heat 
        that substantially exceeds local temperature norms in terms of 
        any combination of the following:
                    (A) Duration.
                    (B) Intensity.
                    (C) Season length.
                    (D) Frequency.
            (2) Heat.--The term ``heat'' means any combination of the 
        atmospheric parameters associated with modulating human 
        thermoregulation, such as air temperature, humidity, solar 
        exposure, and wind speed.
            (3) Heat event.--The term ``heat event'' means an 
        occurrence of extreme heat of 2 days or more that may have 
        heat-health implications.
            (4) Heat-health.--The term ``heat-health'' means health 
        effects to humans from heat, during or outside of heat events, 
        including from vulnerability and exposure, or the risk of such 
        effects.
            (5) Planning.--The term ``planning'' means activities 
        performed across timescales (including days, weeks, months, 
        years, and decades) with scenario-based, probabilistic or 
        deterministic information to identify and take actions to 
        proactively mitigate heat-health risks.
            (6) Preparedness.--The term ``preparedness'' means 
        activities performed across timescales with decision support 
        tools to manage risk in advance of a heat event and increased 
        ambient temperature.
            (7) Tribal government.--The term ``Tribal government'' 
        means the recognized governing body of any Indian or Alaska 
        Native tribe, band, nation, pueblo, village, community, 
        component band, or component reservation, individually 
        identified (including parenthetically) in the list published 
        most recently as of the date of enactment of this Act pursuant 
        to section 104 of the Federally Recognized Indian Tribe List 
        Act of 1994 (25 U.S.C. 5131).

SEC. 3. NATIONAL INTEGRATED HEAT HEALTH INFORMATION SYSTEM INTERAGENCY 
              COMMITTEE.

    (a) Establishment of Committee.--There is established within the 
National Oceanic and Atmospheric Administration an interagency 
committee, to be known as the ``National Integrated Heat Health 
Information System Interagency Committee'' (in this section referred to 
as the ``Committee'').
    (b) Purpose.--The Committee shall coordinate agencies represented 
on the Committee to execute, as appropriate, activities across such 
agencies to ensure a united Federal approach to reducing health risks 
from heat.
    (c) Membership.--
            (1) In general.--In order to carry out and achieve the 
        purpose described in subsection (b), the Committee shall 
        include the following:
                    (A) The Director of the National Integrated Heat 
                Health Information System.
                    (B) Not fewer than 1 representative from each of 
                the following:
                            (i) From the Department of Commerce, the 
                        following:
                                    (I) From the National Oceanic and 
                                Atmospheric Administration, the 
                                following:
                                            (aa) The National Weather 
                                        Service.
                                            (bb) The Office of Oceanic 
                                        and Atmospheric Research.
                                            (cc) The National 
                                        Environmental Satellite, Data, 
                                        and Information Service.
                                    (II) The National Institute of 
                                Standards and Technology.
                                    (III) The Bureau of the Census.
                            (ii) From the Department of Health and 
                        Human Services, the following:
                                    (I) The Centers for Disease Control 
                                and Prevention, including the National 
                                Institute for Occupational Safety and 
                                Health.
                                    (II) The Office of the Assistant 
                                Secretary of Health and Human Services 
                                for Preparedness and Response.
                                    (III) The Substance Abuse and 
                                Mental Health Services Administration.
                                    (IV) The National Institutes of 
                                Health.
                                    (V) The Indian Health Service.
                            (iii) From the Department of the Interior, 
                        the following:
                                    (I) The Bureau of Indian Affairs.
                                    (II) The Bureau of Land Management.
                                    (III) The National Park Service.
                                    (IV) The Office of Hawaiian 
                                Relations.
                            (iv) From the Environmental Protection 
                        Agency, the following:
                                    (I) The Office of Air and 
                                Radiation, if the Administrator of the 
                                Environmental Protection Agency 
                                determines appropriate.
                                    (II) The Office of Research and 
                                Development, if the Administrator 
                                determines appropriate.
                                    (III) The Office of International 
                                and Tribal Affairs.
                            (v) The Federal Emergency Management 
                        Agency.
                            (vi) The Department of Defense.
                            (vii) The Department of Agriculture.
                            (viii) The Department of Housing and Urban 
                        Development.
                            (ix) The Department of Transportation.
                            (x) The Department of Energy.
                            (xi) The Department of Labor, including the 
                        Occupational Safety and Health Administration.
                            (xii) The Department of Veteran Affairs.
                            (xiii) The Department of Education.
                            (xiv) The Department of State.
                            (xv) The United States Agency for 
                        International Development.
                            (xvi) Such other Federal agencies as the 
                        Under Secretary of Commerce for Oceans and 
                        Atmosphere considers appropriate.
            (2) Selection of representatives.--The head of an agency 
        specified in paragraph (1)(B) shall, in appointing 
        representatives of the agency to the Committee, select 
        representatives who have expertise in areas relevant to the 
        responsibilities of the Committee, such as weather prediction, 
        health impacts, behavioral science, public health hazard 
        preparedness and response, or mental health services.
            (3) Co-chairs.--
                    (A) In general.--The members of the Committee shall 
                select 3 individuals from among such members to serve 
                as co-chairs of the Committee, subject to the approval 
                of the Under Secretary of Commerce for Oceans and 
                Atmosphere.
                    (B) Selection.--
                            (i) Initial selection.--Of the co-chairs 
                        first selected, one shall be from the National 
                        Oceanic and Atmospheric Administration, one 
                        shall be from the Department of Health and 
                        Human Services, and one shall be from the 
                        Federal Emergency Management Agency.
                            (ii) Subsequent selection.--Subsequent co-
                        chairs shall be selected from among the members 
                        of the Committee, except the National Oceanic 
                        and Atmospheric Administration shall have the 
                        opportunity to maintain a co-chair position.
                    (C) Terms.--Each co-chair shall serve for a term of 
                not more than 5 years.
                    (D) Responsibilities of co-chairs.--The co-chairs 
                of the Committee shall, in consultation with the 
                Director of the National Integrated Heat Health 
                Information System--
                            (i) determine the agenda of the Committee, 
                        in consultation with other members of the 
                        Committee;
                            (ii) direct the work of the Committee; and
                            (iii) convene meetings of the Committee not 
                        less frequently than once each fiscal quarter.
    (d) Responsibilities of Committee.--The Committee shall coordinate 
an integrated, Federal Government-wide approach to reducing health 
risks and impacts of heat, including by--
            (1) developing the strategic plan required by subsection 
        (e);
            (2) coordinating across Federal agencies on heat-health 
        communication, engagement, research, service delivery, and 
        workforce development; and
            (3) building capacity and partnerships with Federal and 
        non-Federal entities.
    (e) Strategic Plan.--
            (1) In general.--Not later than 2 years after the date of 
        the enactment of this Act, the Committee shall submit to 
        Congress and make available on a public website a 5-year 
        strategic plan that outlines the goals and projects of the 
        Committee, including how the Committee will improve 
        coordination and integration of interagency Federal capacity 
        and capabilities to address health risks of heat, including--
                    (A) a strategy for improving and coordinating 
                existing Federal data collection and data management to 
                include sharing of data and statistics on heat-related 
                illnesses and mortalities and other impacts to inform 
                heat-related activities;
                    (B) a strategy for improving and coordinating 
                Federal activities to understand user gaps and needs, 
                conduct research, foster innovative solutions, and 
                provide actionable information and services; and
                    (C) mechanisms for financing heat planning and 
                preparedness within such agencies as the Committee 
                considers appropriate.
            (2) Implementation.--The head of an agency represented on 
        the Committee may implement the portions of the strategic plan 
        required by paragraph (1) that are relevant to that agency.
            (3) Updates.--Not later than 5 years after the submission 
        of the strategic plan required by paragraph (1), and every 5 
        years thereafter, the Committee shall brief Congress on an 
        update of the plan, which shall include progress made toward 
        goals outlined in the previous plan and new priorities that 
        emerge.
    (f) Consultation.--In carrying out the responsibilities of the 
Committee, the Committee shall consult with relevant--
            (1) regional, State, Tribal, and local governments;
            (2) international organizations and partners;
            (3) research institutions;
            (4) nongovernmental organizations and associations;
            (5) medical experts with expertise in emergency response; 
        and
            (6) environmental health, economic or business development, 
        or other stakeholders.

SEC. 4. NATIONAL INTEGRATED HEAT HEALTH INFORMATION SYSTEM.

    (a) Establishment.--The Under Secretary of Commerce for Oceans and 
Atmosphere shall establish within the National Oceanic and Atmospheric 
Administration a system, to be known as the ``National Integrated Heat 
Health Information System'' (NIHHIS) (in this section referred to as 
the ``System'').
    (b) Purpose.--The purpose of the System is to reduce heat-related 
impacts by--
            (1) improving the delivery of data, information, forecasts, 
        warnings, predictions, and projections related to temperature 
        and extreme heat and related impacts;
            (2) through the Office of Oceanic and Atmospheric Research, 
        developing science-based solutions and tools to improve impact-
        based decision support services for heat impacts to human life, 
        property, and the United States economy; and
            (3) supporting a research program on heat health, in 
        coordination with the agencies represented on the National 
        Integrated Heat Health Information System Interagency 
        Committee.
    (c) Data Management.--
            (1) Availability.--The data and metadata associated with 
        the System shall be fully and openly available, within the 
        legal right to redistribute, in accordance with chapter 31 of 
        title 44, United States Code (commonly known as the ``Federal 
        Records Act of 1950''), and the Federal Evidence-Based 
        Policymaking Act of 2018 (Public Law 115-435;132 Stat. 5529) 
        and the amendments made by that Act, to maximize use of such 
        data to support the goals of the System.
            (2) National centers for environmental information.--
                    (A) In general.--The Under Secretary of Commerce 
                for Oceans and Atmosphere shall manage, maintain, and 
                steward archival data and metadata associated with the 
                System within the National Centers for Environmental 
                Information.
                    (B) Warning coordination meteorologist.--The Under 
                Secretary of Commerce for Oceans and Atmosphere shall 
                designate at least one warning coordination 
                meteorologist, as described in section 405 of the 
                Weather Research and Forecasting Innovation Act of 2017 
                (15 U.S.C. 8545), at the National Centers for 
                Environmental Information.

SEC. 5. AUTHORIZATION OF APPROPRIATIONS.

    There is authorized to be appropriated to the National Oceanic and 
Atmospheric Administration to carry out sections 3 and 4, including for 
any administrative costs for the National Integrated Heat Health 
Information System Interagency Committee and the National Integrated 
Heat Health Information System, $5,000,000 for each of fiscal years 
2025 through 2029.
                                                       Calendar No. 720

118th CONGRESS

  2d Session

                                S. 2645

_______________________________________________________________________

                                 A BILL

    To reduce the health risks of heat by establishing the National 
 Integrated Heat Health Information System within the National Oceanic 
and Atmospheric Administration and the National Integrated Heat Health 
   Information System Interagency Committee to improve extreme heat 
     preparedness, planning, and response, requiring a study, and 
establishing financial assistance programs to address heat effects, and 
                          for other purposes.

_______________________________________________________________________

            December 17 (legislative day, December 16), 2024

                       Reported with an amendment