739 
‘‘(C) DEVELOPING RECOMMENDATIONS.— 
Suggesting changes to proposals to promote 
positive or mitigate adverse health effects. 
‘‘(D) REPORTING.—Synthesizing the as-
sessment and recommendations and commu-
nicating the results to decisionmakers. 
‘‘(E) MONITORING
AND
EVALUATING.— 
Tracking the decision and implementation effect 
on health determinants and health status. 
‘‘(5) PLAN.—An eligible entity that is awarded 
a grant under this section shall develop and imple-
ment a plan, to be approved by the Director, for 
meaningful and inclusive stakeholder involvement in 
all phases of the Health Impact Assessment. Stake-
holders may include community-based organizations, 
youth-serving organizations, planners, public health 
experts, State and local public health departments 
and officials, health care experts or officials, housing 
experts or officials, and transportation experts or of-
ficials. 
‘‘(6) SUBMISSION
OF
FINDINGS.—An eligible 
entity that is awarded a grant under this section 
shall submit the findings of any funded Health Im-
pact Assessment activities to the Secretary and 
make these findings publicly available. 
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740 
‘‘(7) ASSESSMENT OF IMPACTS.—An eligible en-
tity that is awarded a grant under this section shall 
ensure the assessment of the distribution of health 
impacts (related to the proposed activity) across 
race, ethnicity, income, age, gender, disability status, 
and geography. 
‘‘(8) CONDUCT OF ASSESSMENT.—To the great-
est extent feasible, a Health Impact Assessment 
shall be conducted under this section in a manner 
that respects the needs and timing of the decision-
making process it evaluates. 
‘‘(9) METHODOLOGY.—In preparing a Health 
Impact Assessment under this subsection, an eligible 
entity or partner shall follow the guidance published 
under subsection (c). 
‘‘(g) HEALTH IMPACT ASSESSMENT DATABASE.— 
The Secretary, acting through the Director and in collabo-
ration with the Administrator, shall establish, maintain, 
and make publicly available a Health Impact Assessment 
database, including— 
‘‘(1) a catalog of Health Impact Assessments 
received under this section; 
‘‘(2) an inventory of tools used by eligible enti-
ties to conduct Health Impact Assessments; and 
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‘‘(3) guidance for eligible entities with respect 
to the selection of appropriate tools described in 
paragraph (2). 
‘‘(h) EVALUATION OF GRANTEE ACTIVITIES.—The 
Secretary shall award competitive grants to Prevention 
Research Centers, or nonprofit organizations or academic 
institutions with expertise in Health Impact Assessments 
to— 
‘‘(1) assist grantees with the provision of train-
ing and technical assistance in the conducting of 
Health Impact Assessments; 
‘‘(2) evaluate the activities carried out with 
grants under subsection (d); and 
‘‘(3) assist the Secretary in disseminating evi-
dence, best practices, and lessons learned from 
grantees. 
‘‘(i) REPORT TO CONGRESS.—Not later than 1 year 
after the date of enactment of this section, the Secretary 
shall submit to Congress a report concerning the evalua-
tion of the programs under this section, including rec-
ommendations as to how lessons learned from such pro-
grams can be incorporated into future guidance docu-
ments developed and provided by the Secretary and other 
Federal agencies, as appropriate. 
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‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary. 
‘‘SEC. 399V–10. ADDITIONAL RESEARCH ON THE RELATION-
SHIP BETWEEN THE BUILT ENVIRONMENT 
AND HEALTH OUTCOMES. 
‘‘(a) RESEARCH GRANT PROGRAM.— 
‘‘(1) GRANTS.—The Secretary, in collaboration 
with the Administrator, shall award grants to eligi-
ble institutions to conduct and coordinate research 
on the built environment and its influence on human 
health. Factors that influence health that may be 
considered include— 
‘‘(A) levels of physical activity; 
‘‘(B) consumption of nutritional foods; 
‘‘(C) rates of crime; 
‘‘(D) air, water, and soil quality; 
‘‘(E) risk or rate of injury; 
‘‘(F) 
accessibility 
to 
health-promoting 
goods and services; 
‘‘(G) chronic disease rates; 
‘‘(H) community design; 
‘‘(I) housing; and 
‘‘(J) other indicators as determined appro-
priate by the Secretary. 
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‘‘(2) RESEARCH.—The Secretary, in consulta-
tion with the Administrator, shall support research 
under this section that— 
‘‘(A) investigates and defines links between 
the built environment and human health and 
identifies causal relationships; 
‘‘(B) examines— 
‘‘(i) the scope and intensity of the im-
pact that the built environment (including 
the various characteristics of the built en-
vironment) has on the human health; or 
‘‘(ii) the distribution of such impacts 
by— 
‘‘(I) location; and 
‘‘(II) population subgroup; 
‘‘(C) is used to develop— 
‘‘(i) measures and indicators to ad-
dress health impacts and the connection of 
health to the built environment; 
‘‘(ii) efforts to link the measures to 
transportation, land use, and health data-
bases; and 
‘‘(iii) efforts to enhance the collection 
of built environment surveillance data; 
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