and synergistic effects of multiple toxins; and methodologi-
cal issues for studying exposures and diseases among
small numbers of people, including units of measurement
and analyses sensitive to disease clusters; and demo-
graphic information relevant for a determination of envi-
ronmental justice concerns. As a result of the report in
communities where the Administrator of the Agency for
Toxic Substances Disease Registry has determined that
adverse health impacts exist, the agency shall also make
this information readily available to members of the com-
munity by providing information directly to the affected
communities and tribal governments in the Environmental
High Impact Areas.
SEC. 402. MORATORIUM.
If the report under section 401 finds significant ad-
verse impacts of environmental pollution on human health
in EHIAs, there shall be a moratorium on the siting or
permitting of any new toxic chemical facility in any EHIA
shown to emit toxic chemicals in quantities found to cause
significant adverse impacts on human health. A new toxic
chemical facility may be cited or permitted in such an
EHIA during this period only if the Secretary and Admin-
istrator agree that—
(1) there will be no significant adverse impacts
to human health;
(2) the owner or operator of the facility dem-
onstrates that the facility has developed a plan to
maintain a comprehensive pollution prevention pro-
gram; and
(3) the facility demonstrates that it will mini-
mize uncontrolled releases into the environment.
The moratorium shall continue in effect in such an EHIA
until the Administrator determines, upon petition of any
interested party, that the health-based levels identified
pursuant to section 401(5) have been attained at the
EHIA.
TITLE V—HEALTH REMEDIES
SEC. 501. HEALTH SCREENING AND TREATMENT GRANTS.
Within 1 year after the Secretary’s biennial health
assessment is released, in EHIAs shown to have adverse
health outcomes related to environmental exposures, the
Secretary shall establish a grant program to make avail-
able to public and nonprofit private entities awards for
the purposes of providing community-wide medical screen-
ing and diagnostic services for environmentally related ill-
nesses. Treatment services shall be provided for commu-
nity residents with environmentally related illnesses if they
lack private or public health insurance, and shall continue
as long as medically necessary. Following community
screening, the Secretary shall initiate a review of medical
services within EHIAs to determine if the area or popu-
lation would qualify as ‘‘medically underserved’’ or a
‘‘health professional shortage area’’.
TITLE VI—POLLUTION
REDUCTION
SEC. 601. POLLUTION REDUCTION/PREVENTION GRANTS.
In EHIAs where the Secretary has determined that
adverse health outcomes are related to environmental ex-
posures, the Administrator shall immediately take efforts
to reduce pollution in the area. The Administrator shall
first make available to States with EHIAs pollution reduc-
tion/prevention grants which will involve community rep-
resentatives, public health experts, local business, and gov-
ernment officials located within the EHIA in developing
effective pollution reduction strategies. If within 1 year,
the Administrator determines that significant steps have
not been made to reduce pollution and risk to human
health, the Administrator may take regulatory steps to re-
duce pollution in the area.
TITLE VII—PROMOTION OF
GREEN SPACE
SEC. 701. DEVELOPMENT OF PARKS OR RECREATIONAL
AREAS.
Within 1 year after the Secretary’s biennial health
assessment is released, the Secretary of the Interior shall
establish a grant program to make available to local public
or nonprofit private entities within EHIAs awards for the
development of parks and recreational spaces, and provide
guidance for promoting environmentally sound use of the
land.
TITLE VIII—FUNDING
SEC. 801. FUNDING.
There are authorized to be appropriated to carry out
this Act such sums as may be necessary.
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