I 
116TH CONGRESS 
1ST SESSION H. R. 2050 
To place a moratorium on permitting for mountaintop removal coal mining 
until health studies are conducted by the Department of Health and 
Human Services, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 3, 2019 
Mr. YARMUTH (for himself, Ms. OCASIO-CORTEZ, Mr. CONNOLLY, Ms. 
DEGETTE, Mr. CARTWRIGHT, Mr. TONKO, Mr. SCHIFF, Mr. COHEN, Mr. 
BLUMENAUER, Mr. BEYER, Mr. GRIJALVA, Mr. KHANNA, and Ms. 
MCCOLLUM) introduced the following bill; which was referred to the Com-
mittee on Natural Resources, and in addition to the Committees on 
Transportation and Infrastructure, and Energy and Commerce, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To place a moratorium on permitting for mountaintop re-
moval coal mining until health studies are conducted 
by the Department of Health and Human Services, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Appalachian Commu-
nities Health Emergency Act’’ or the ‘‘ACHE Act’’. 
VerDate Sep 11 2014 
04:32 Apr 13, 2019
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2050.IH
H2050
kjohnson on DSK79L0C42 with BILLS
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) Communities surrounding mountaintop re-
moval coal mining projects, which involve surface 
coal mining including blasting with explosives in the 
steep slope regions of Kentucky, Tennessee, West 
Virginia, and Virginia, have raised concerns that 
pollution of the water, air, and soil that results from 
mountaintop removal coal mining may be causing 
health crises in their communities. 
(2) Peer-reviewed scientific research and re-
ports have raised serious concerns about mountain-
top removal mining with respect to elevated risks in 
categories of birth defects studied: circulatory/res-
piratory, central nervous system, musculoskeletal, 
and gastrointestinal. 
(3) Mountaintop removal coal mining has also 
been associated with elevated levels of adult hos-
pitalizations for chronic pulmonary disorders and hy-
pertension that are elevated as a function of county- 
level coal production, as are rates of mortality; lung 
cancer; and chronic heart, lung, and kidney disease. 
These health problems strike both women and men 
in mountaintop removal coal mining communities. 
These elevated levels of disease, defects, and mor-
VerDate Sep 11 2014 
04:32 Apr 13, 2019
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2050.IH
H2050
kjohnson on DSK79L0C42 with BILLS
tality persist even after controlling for other vari-
ables. 
(4) Initial scientific evidence, and the level of 
public concern, warrant immediate action to stop 
new mountaintop removal coal mining permits and 
increase environmental and human health moni-
toring at existing mountaintop removal coal mining 
projects while the reported links between health ef-
fects and mountaintop removal coal mining are in-
vestigated by Federal health agencies. 
(5) The National Institute of Environmental 
Health Sciences is uniquely qualified to manage a 
working group of Federal health agencies with ex-
pertise that is relevant to study of the reported 
links. 
SEC. 3. HEALTH STUDIES. 
(a) STUDIES.—The Director of the National Institute 
of Environmental Health Sciences, in consultation with 
the Administrator of the Environmental Protection Agen-
cy and the heads of such other Federal departments and 
agencies as the Director deems appropriate, shall— 
(1) conduct or support comprehensive studies 
on the health impacts, if any, of mountaintop re-
moval coal mining on individuals in the surrounding 
communities; and 
VerDate Sep 11 2014 
04:32 Apr 13, 2019
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2050.IH
H2050
kjohnson on DSK79L0C42 with BILLS
(2) submit to the Secretary, and make publicly 
available, a report on the results of such studies. 
(b) DETERMINATION.—Upon receipt of the report 
under subsection (a)(2), the Secretary of Health and 
Human Services shall publish a determination on whether 
mountaintop removal coal mining presents any health 
risks to individuals in the surrounding communities. 
SEC. 4. MOUNTAINTOP REMOVAL COAL MINING PERMIT 
MORATORIUM. 
Until and unless the Secretary of Health and Human 
Services publishes a determination under section 3(b) con-
cluding that mountaintop removal coal mining does not 
present any health risk to individuals in the surrounding 
communities, a permit or other authorization may not be 
issued for any mountaintop removal coal mining project, 
or for any expansion of such a project, by— 
(1) the Secretary of the Army, acting through 
the Chief of Engineers, or a State, under section 
404 of the Federal Water Pollution Control Act (33 
U.S.C. 1344); 
(2) the Administrator of the Environmental 
Protection Agency, or a State, under section 402 of 
the Federal Water Pollution Control Act (33 U.S.C. 
1342); or 
VerDate Sep 11 2014 
04:32 Apr 13, 2019
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2050.IH
H2050
kjohnson on DSK79L0C42 with BILLS