(4) SUSTAINABILITY AND RESILIENCY PLAN.— 
The term ‘‘sustainability and resiliency plan’’ means 
a plan, including comprehensive preproject evalua-
tion, for a construction or modernization project 
that would, in order to protect patient health and 
community access, enhance— 
(A) the sustainability of a medical facility 
and infrastructure surrounding the medical fa-
cility; and 
(B) the resiliency of that medical facility 
and infrastructure surrounding the medical fa-
cility to climate change and public health crises. 
(b) ESTABLISHMENT.—The Secretary shall establish 
a grant program, to be known as the ‘‘Planning and Eval-
uation Grant Program’’, under which the Secretary shall 
make planning grants to eligible entities to develop sus-
tainability and resiliency plans for medical facilities owned 
or operated by the eligible entity and infrastructure sur-
rounding the medical facilities. 
(c) ELIGIBLE ENTITIES.—To be eligible to receive a 
planning grant under subsection (b), an applicant shall 
be— 
(1) a State, Tribal government, or political sub-
division of a State or Tribal government, including 
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any city, town, county, borough, hospital district au-
thority, or public or quasi-public corporation; or 
(2) a nonprofit private entity. 
(d) APPLICATIONS.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), an eligible entity seeking a planning 
grant under subsection (b) shall submit to the Sec-
retary an application at such time, in such manner, 
and containing such information as the Secretary 
may by regulation prescribe, including— 
(A) a description of the proposed project; 
(B) a summary and breakdown of the de-
mographics of the patient population served or 
potentially served by the medical facility under 
the proposed project, including information 
on— 
(i) whether the medical facility is a fa-
cility for which a majority of the revenue 
the facility receives for patient care is from 
reimbursements for medical care furnished 
to Medicare and Medicaid beneficiaries 
under titles XVIII and XIX of the Social 
Security Act (42 U.S.C. 1395 et seq. and 
1396 et seq.); and 
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(ii) other indications that individuals 
vulnerable to climate change are served or 
potentially served by the medical facility; 
(C) a description of the ways in which the 
proposed project— 
(i) will carry out 1 or more activities 
described in subsection (g); 
(ii) meet the needs of the community 
the medical facility serves, especially the 
needs of vulnerable populations; and 
(iii) meet the sustainability and resil-
iency needs of the medical facility due to 
climate risks and hazards; 
(D) a description of whether the commu-
nity served by the medical facility is an environ-
mental justice community; 
(E) a description of the ways in which the 
planning grant would be used to carry out 1 or 
more planning and evaluation activities de-
scribed in subsection (f); 
(F) reasonable assurance that all laborers 
and mechanics employed by contractors or sub-
contractors in the performance of work on a 
project will be paid wages at rates not less than 
those prevailing on similar work in the locality 
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as determined by the Secretary of Labor in ac-
cordance with subchapter IV of chapter 31 of 
part A of subtitle II of title 40, United States 
Code (commonly referred to as the ‘‘Davis- 
Bacon Act’’) and the Secretary of Labor shall 
have with respect to such labor standards the 
authority and functions set forth in Reorganiza-
tion Plan Numbered 14 of 1950 (64 Stat. 
1267; 5 U.S.C. App.) and section 3145 of title 
40, United States Code; and 
(G) reasonable assurance that the facil-
ity— 
(i) has a collective bargaining agree-
ment with 1 or more labor organizations 
representing employees at the facility; or 
(ii) has an explicit policy not to inter-
fere with the rights of employees at the fa-
cility under section 7 of the National 
Labor Relations Act (29 U.S.C. 157). 
(2) ADDITIONAL
APPLICATIONS.—An applica-
tion submitted under part A or B of title XVI of the 
Public Health Service Act (42 U.S.C. 300q et seq. 
and 42 U.S.C. 300r) shall be deemed to be a com-
plete application submitted for purposes of consider-
ation for a planning grant under subsection (b). 
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(e) SELECTION.—The Secretary shall— 
(1) in coordination with the Secretary of En-
ergy and the Administrator of the Environmental 
Protection Agency, if necessary, develop metrics to 
evaluate applications for planning grants under sub-
section (b); and 
(2) give priority to applications that focus on 
improving a medical facility— 
(A) for which— 
(i) a majority of the revenue the facil-
ity receives for patient care is from reim-
bursements for medical care furnished to 
Medicare and Medicaid beneficiaries under 
titles XVIII and XIX of the Social Secu-
rity Act (42 U.S.C. 1395 et seq. and 1396 
et seq.); or 
(ii) a high proportion of patients is 
uninsured, as determined by the Secretary; 
and 
(B) that is located in a neighborhood or 
serves a patient population that— 
(i) experiences low-air quality; 
(ii) lacks green space; 
(iii) bears higher cumulative pollution 
burdens; or 
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