activity, as the eligible entity determines to be 
appropriate; and 
(E) include a list of each comment received 
with respect to the health impact assessment 
under subsection (g). 
(4) METHODOLOGY.—In preparing a health im-
pact assessment under this subsection, an eligible 
entity— 
(A) shall follow guidelines developed by the 
Director, in collaboration with the IWG, that— 
(i) are consistent with subsection (c); 
(ii) will be established not later than 
1 year after the date of enactment of this 
Act; and 
(iii) will be made publicly available at 
the annual conference described in section 
3(e)(2); and 
(B) may establish a balance, as the eligible 
entity determines to be appropriate, between 
the use of— 
(i) rigorous methods requiring special 
skills or increased use of resources; and 
(ii) expedient, cost-effective measures. 
(g) PUBLIC PARTICIPATION.— 
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(1) IN GENERAL.—Before preparing and sub-
mitting to the Secretary a final health impact as-
sessment, an eligible entity shall request and take 
into consideration public and agency comments, in 
accordance with this subsection. 
(2) REQUIREMENT.—Not later than 30 days 
after the date on which a draft health impact assess-
ment is completed, an eligible entity shall submit the 
draft health impact assessment to each Federal 
agency, and each State and local organization, 
that— 
(A) has jurisdiction with respect to the ac-
tivity or proposed activity to which the health 
impact assessment applies; 
(B) has special knowledge with respect to 
an environmental or health impact of the activ-
ity or proposed activity; or 
(C) is authorized to develop or enforce any 
environmental standard relating to the activity 
or proposed activity. 
(3) COMMENTS REQUESTED.— 
(A) REQUEST BY ELIGIBLE ENTITY.—An 
eligible entity may request comments with re-
spect to a health impact assessment from— 
(i) affected Indian tribes; 
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(ii) interested or affected individuals 
or organizations; and 
(iii) any other State or local agency, 
as the eligible entity determines to be ap-
propriate. 
(B) REQUEST BY OTHERS.—Any interested 
or affected agency, organization, or individual 
may— 
(i) request an opportunity to comment 
on a health impact assessment; and 
(ii) submit to the appropriate eligible 
entity comments with respect to the health 
impact assessment by not later than— 
(I) for a Federal, State, or local 
government agency or organization, 
the date on which a final health im-
pact assessment is prepared; and 
(II) for any other individual or 
organization, the date described in 
subclause (I) or another date, as the 
eligible entity may determine. 
(4) RESPONSE TO COMMENTS.—A final health 
impact assessment shall describe the response of the 
eligible entity to comments received within a 90-day 
period under this subsection, including— 
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(A) a description of any means by which 
the eligible entity, as a result of such a com-
ment— 
(i) 
modified 
an 
alternative 
rec-
ommended with respect to the applicable 
activity or proposed activity; 
(ii) developed and evaluated any alter-
native not previously considered by the eli-
gible entity; 
(iii) supplemented, improved, or modi-
fied an analysis of the eligible entity; or 
(iv) made any factual correction to the 
health impact assessment; and 
(B) for any comment with respect to which 
the eligible entity took no action, an explanation 
of the reasons why no action was taken and, if 
appropriate, a description of the circumstances 
under which the eligible entity would take such 
an action. 
(h) HEALTH IMPACT ASSESSMENT DATABASE.—The 
Secretary, acting through the Director and in collabora-
tion with the Administrator, shall establish and maintain 
a health impact assessment database, including— 
(1) a catalog of health impact assessments re-
ceived under this section; 
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(2) an inventory of tools used by eligible enti-
ties to prepare draft and final health impact assess-
ments; and 
(3) guidance for eligible entities with respect to 
the selection of appropriate tools described in para-
graph (2). 
(i) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as are necessary. 
SEC. 5. GRANT PROGRAM. 
(a) DEFINITIONS.—In this section: 
(1) DIRECTOR.—The term ‘‘Director’’ means 
the Director of the Centers for Disease Control and 
Prevention, acting in collaboration with the Adminis-
trator and the Director of the National Institute of 
Environmental Health Sciences. 
(2) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means a State or local community that— 
(A) bears a disproportionate burden of ex-
posure to environmental health hazards; 
(B) has established a coalition— 
(i) with not less than 1 community- 
based organization; and 
(ii) with not less than 1— 
(I) public health entity; 
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(II) health care provider organi-
zation; or 
(III) academic institution; 
(C) ensures planned activities and funding 
streams are coordinated to improve community 
health; and 
(D) submits an application in accordance 
with subsection (c). 
(b) ESTABLISHMENT.—The Director shall establish a 
grant program under which eligible entities shall receive 
grants to conduct environmental health improvement ac-
tivities. 
(c) APPLICATION.—To receive a grant under this sec-
tion, an eligible entity shall submit an application to the 
Director at such time, in such manner, and accompanied 
by such information as the Director may require. 
(d) COOPERATIVE AGREEMENTS.—An eligible entity 
may use a grant under this section— 
(1) to promote environmental health; and 
(2) to address environmental health disparities. 
(e) AMOUNT OF COOPERATIVE AGREEMENT.— 
(1) IN
GENERAL.—The Director shall award 
grants to eligible entities at the 2 different funding 
levels described in this subsection. 
(2) LEVEL 1 COOPERATIVE AGREEMENTS.— 
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(A) IN
GENERAL.—An eligible entity 
awarded a grant under this paragraph shall use 
the funds to identify environmental health prob-
lems and solutions by— 
(i) 
establishing 
a 
planning 
and 
prioritizing council in accordance with sub-
paragraph (B); and 
(ii) 
conducting 
an 
environmental 
health assessment in accordance with sub-
paragraph (C). 
(B) PLANNING AND PRIORITIZING COUN-
CIL.— 
(i) IN GENERAL.—A prioritizing and 
planning council established under sub-
paragraph (A)(i) (referred to in this para-
graph as a ‘‘PPC’’) shall assist the envi-
ronmental health assessment process and 
environmental health promotion activities 
of the eligible entity. 
(ii) MEMBERSHIP.—Membership of a 
PPC shall consist of representatives from 
various organizations within public health, 
planning, development, and environmental 
services and shall include stakeholders 
from vulnerable groups such as children, 
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the elderly, disabled, and minority ethnic 
groups that are often not actively involved 
in democratic or decision-making proc-
esses. 
(iii) DUTIES.—A PPC shall— 
(I) identify key stakeholders and 
engage and coordinate potential part-
ners in the planning process; 
(II) establish a formal advisory 
group to plan for the establishment of 
services; 
(III) conduct an in-depth review 
of the nature and extent of the need 
for an environmental health assess-
ment, including a local epidemiological 
profile, an evaluation of the service 
provider capacity of the community, 
and a profile of any target popu-
lations; and 
(IV) define the components of 
care and form essential programmatic 
linkages with related providers in the 
community. 
(C) ENVIRONMENTAL
HEALTH
ASSESS-
MENT.— 
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(i) IN GENERAL.—A PPC shall carry 
out an environmental health assessment to 
identify environmental health concerns. 
(ii) 
ASSESSMENT
PROCESS.—The 
PPC shall— 
(I) define the goals of the assess-
ment; 
(II) generate the environmental 
health issue list; 
(III) analyze issues with a sys-
tems framework; 
(IV) develop appropriate commu-
nity environmental health indicators; 
(V) 
rank 
the 
environmental 
health issues; 
(VI) set priorities for action; 
(VII) develop an action plan; 
(VIII) implement the plan; and 
(IX) evaluate progress and plan-
ning for the future. 
(D) EVALUATION.—Each eligible entity 
that receives a grant under this paragraph shall 
evaluate, report, and disseminate program find-
ings and outcomes. 
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(E) TECHNICAL ASSISTANCE.—The Direc-
tor may provide such technical and other non- 
financial assistance to eligible entities as the 
Director determines to be necessary. 
(3) LEVEL 2 COOPERATIVE AGREEMENTS.— 
(A) ELIGIBILITY.— 
(i) IN GENERAL.—The Director shall 
award grants under this paragraph to eli-
gible entities that have already— 
(I) established broad-based col-
laborative partnerships; and 
(II) completed environmental as-
sessments. 
(ii) NO LEVEL 1 REQUIREMENT.—To 
be eligible to receive a grant under this 
paragraph, an eligible entity is not re-
quired to have successfully completed a 
Level 1 Cooperative Agreement (as de-
scribed in paragraph (2). 
(B) USE OF GRANT FUNDS.—An eligible 
entity awarded a grant under this paragraph 
shall use the funds to further activities to carry 
out environmental health improvement activi-
ties, including— 
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(i) addressing community environ-
mental health priorities in accordance with 
paragraph (2)(C)(ii), including— 
(I) air quality; 
(II) water quality; 
(III) solid waste; 
(IV) land use; 
(V) housing; 
(VI) food safety; 
(VII) crime; 
(VIII) injuries; and 
(IX) healthcare services; 
(ii) building partnerships between 
planning, public health, and other sectors, 
to address how the built environment im-
pacts food availability and access and 
physical activity to promote healthy behav-
iors and lifestyles and reduce obesity and 
related co-morbidities; 
(iii) establishing programs to ad-
dress— 
(I) how environmental and social 
conditions of work and living choices 
influence physical activity and dietary 
intake; or 
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(II) how those conditions influ-
ence the concerns and needs of people 
who have impaired mobility and use 
assistance devices, including wheel-
chairs and lower limb prostheses; and 
(iv) convening intervention programs 
that examine the role of the social environ-
ment in connection with the physical and 
chemical environment in— 
(I) determining access to nutri-
tional food; and 
(II) improving physical activity to 
reduce morbidity and increase quality 
of life. 
(f) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this sec-
tion— 
(1) $25,000,000 for fiscal year 2007; and 
(2) such sums as may be necessary for fiscal 
years 2008 through 2011. 
SEC. 6. ADDITIONAL RESEARCH ON THE RELATIONSHIP BE-
TWEEN THE BUILT ENVIRONMENT AND THE 
HEALTH OF COMMUNITY RESIDENTS. 
(a) DEFINITION OF ELIGIBLE INSTITUTION.—In this 
section, the term ‘‘eligible institution’’ means a public or 
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