(d) SELECTION OF GRANT RECIPIENTS.— 
(1) TIMING.—Not later than 270 days after the 
date of the enactment of this Act, the Secretary 
shall select the recipients of grants under the Pro-
gram. 
(2) CONSULTATION.—In selecting covered enti-
ties for grants under the Program, the Secretary 
shall consult with— 
(A) representatives of stakeholder organi-
zations; 
(B) the Administrator of the Environ-
mental Protection Agency; 
(C) the Administrator of the National Oce-
anic and Atmospheric Administration; and 
(D) from the Department of Health and 
Human Services— 
(i) the Deputy Assistant Secretary for 
Minority Health; 
(ii) the Administrator of the Centers 
for Medicare & Medicaid Services; 
(iii) the Administrator of the Health 
Resources and Services Administration; 
(iv) the Director of the National Insti-
tutes of Health; and 
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(v) the Director of the Centers for 
Disease Control and Prevention. 
(3) PRIORITY.—In selecting a covered entity to 
be awarded a grant under the Program, the Sec-
retary shall give priority to covered entities that 
serve a county— 
(A) designated, or located in an area des-
ignated, as a nonattainment area pursuant to 
section 107 of the Clean Air Act (42 U.S.C. 
7407) for any air pollutant for which air quality 
criteria have been issued under section 108(a) 
of such Act (42 U.S.C. 7408(a)); 
(B) with a level of vulnerability of mod-
erate-to-high or higher, according to the Social 
Vulnerability Index of the Centers for Disease 
Control and Prevention; or 
(C) with temperatures that pose a risk to 
human health, as determined by the Secretary, 
in consultation with the Administrator of the 
National Oceanic and Atmospheric Administra-
tion and the Chair of the United States Global 
Change Research Program, based on the best 
available science. 
(4) LIMITATION.—A recipient of grant funds 
under the Program may not use such grant funds to 
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serve a county that is served by any other recipient 
of a grant under the Program. 
(e) USE OF FUNDS.—A covered entity awarded grant 
funds under the Program may only use such grant funds 
for the following: 
(1) Initiatives to identify risks associated with 
climate change for vulnerable individuals and to pro-
vide services and support to such individuals that 
address such risks, which may include— 
(A) training for health care providers, 
doulas, and other employees in hospitals, birth 
centers, midwifery practices, and other health 
care practices that provide prenatal or labor 
and delivery services to vulnerable individuals 
on the identification of, and patient counseling 
relating to, risks associated with climate change 
for vulnerable individuals; 
(B) hiring, training, or providing resources 
to community health workers and perinatal 
health workers who can help identify risks asso-
ciated with climate change for vulnerable indi-
viduals, provide patient counseling about such 
risks, and carry out the distribution of relevant 
services and support; 
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(C) enhancing the monitoring of risks as-
sociated with climate change for vulnerable in-
dividuals, including by— 
(i) collecting data on such risks in 
specific census tracts, neighborhoods, or 
other geographic areas; and 
(ii) sharing such data with local 
health care providers, doulas, and other 
employees in hospitals, birth centers, mid-
wifery practices, and other health care 
practices that provide prenatal or labor 
and delivery services to local vulnerable in-
dividuals; and 
(D) providing vulnerable individuals— 
(i) air conditioning units, residential 
weatherization support, filtration systems, 
household appliances, or related items; 
(ii) direct financial assistance; and 
(iii) services and support, including 
housing and transportation assistance, to 
prepare for or recover from extreme weath-
er events, which may include floods, hurri-
canes, wildfires, droughts, and related 
events. 
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(2) Initiatives to mitigate levels of and exposure 
to risks associated with climate change for vulner-
able individuals, which shall be based on the best 
available science and which may include initiatives 
to— 
(A) develop, maintain, or expand urban or 
community forestry initiatives and tree canopy 
coverage initiatives; 
(B) 
improve 
infrastructure, 
including 
buildings and paved surfaces; 
(C) develop or improve community out-
reach networks to provide culturally and lin-
guistically appropriate information and notifica-
tions about risks associated with climate change 
for vulnerable individuals; and 
(D) provide enhanced services to racial and 
ethnic minority groups and other underserved 
populations. 
(f) LENGTH OF AWARD.—A grant under this section 
shall be disbursed over 4 fiscal years. 
(g) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to a covered entity awarded 
a grant under the Program to support the development, 
implementation, and evaluation of activities funded with 
such grant. 
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(h) REPORTS TO SECRETARY.— 
(1) ANNUAL
REPORT.—For each fiscal year 
during which a covered entity is disbursed grant 
funds under the Program, such covered entity shall 
submit to the Secretary a report that summarizes 
the activities carried out by such covered entity with 
such grant funds during such fiscal year, which shall 
include a description of the following: 
(A) The involvement of stakeholder organi-
zations in the implementation of initiatives as-
sisted with such grant funds. 
(B) Relevant health and environmental 
data, disaggregated, to the extent practicable, 
by race, ethnicity, gender, and pregnancy sta-
tus. 
(C) Qualitative feedback received from vul-
nerable individuals with respect to initiatives 
assisted with such grant funds. 
(D) Criteria used in selecting the geo-
graphic areas assisted with such grant funds. 
(E) Efforts to address racial and ethnic 
disparities in adverse maternal and infant 
health outcomes and in exposure to risks associ-
ated with climate change for vulnerable individ-
uals. 
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(F) Any negative and unintended impacts 
of initiatives assisted with such grant funds, in-
cluding— 
(i) adverse environmental impacts; 
(ii) displacement of residents and 
businesses; 
(iii) rent and housing price increases; 
and 
(iv) disproportionate adverse impacts 
on racial and ethnic minority groups and 
other underserved populations. 
(G) How the covered entity will address 
and prevent any impacts described in subpara-
graph (F). 
(2) PUBLICATION.—Not later than 30 days 
after the date on which a report is submitted under 
paragraph (1), the Secretary shall publish such re-
port on a public website of the Department of 
Health and Human Services. 
(i) REPORT TO CONGRESS.—Not later than the date 
that is 5 years after the date on which the Program is 
established, the Secretary shall submit to Congress and 
publish on a public website of the Department of Health 
and Human Services a report on the results of the Pro-
gram, including the following: 
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(1) Summaries of the annual reports submitted 
under subsection (h). 
(2) Evaluations of the initiatives assisted with 
grant funds under the Program. 
(3) An assessment of the effectiveness of the 
Program in— 
(A) identifying risks associated with cli-
mate change for vulnerable individuals; 
(B) providing services and support to such 
individuals; 
(C) mitigating levels of and exposure to 
such risks; and 
(D) addressing racial and ethnic disparities 
in adverse maternal and infant health outcomes 
and in exposure to such risks. 
(4) A description of how the Program could be 
expanded, including— 
(A) monitoring efforts or data collection 
that would be required to identify areas with 
high levels of risks associated with climate 
change for vulnerable individuals; 
(B) how such areas could be identified 
using the strategy developed under section 5; 
and 
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(C) recommendations for additional fund-
ing. 
(j) COVERED ENTITY DEFINED.—In this section, the 
term ‘‘covered entity’’ means a consortium of organiza-
tions serving a county that— 
(1) shall include a community-based organiza-
tion; and 
(2) may include— 
(A) another stakeholder organization; 
(B) the government of such county; 
(C) the governments of one or more mu-
nicipalities within such county; 
(D) a State or local public health depart-
ment or emergency management agency; 
(E) a local health care practice, which may 
include a licensed and accredited hospital, birth 
center, midwifery practice, or other health care 
practice that provides prenatal or labor and de-
livery services to vulnerable individuals; 
(F) an Indian tribe or tribal organization 
(as such terms are defined in section 4 of the 
Indian Self-Determination and Education As-
sistance Act (25 U.S.C. 5304)); 
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(G) an Urban Indian organization (as de-
fined in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603)); and 
(H) an institution of higher education. 
(k) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$100,000,000 for fiscal years 2022 through 2025. 
SEC. 3. GRANT PROGRAM FOR EDUCATION AND TRAINING 
AT HEALTH PROFESSION SCHOOLS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services shall establish a grant program (in 
this section referred to as the ‘‘Program’’) to provide 
funds to health profession schools to support the develop-
ment and integration of education and training programs 
for identifying and addressing risks associated with cli-
mate change for vulnerable individuals. 
(b) GRANT AUTHORITY.—In carrying out the Pro-
gram, the Secretary may award, on a competitive basis, 
grants to health profession schools. 
(c) APPLICATION.—To be eligible for a grant under 
the Program, a health profession school shall submit to 
the Secretary an application at such time, in such form, 
and containing such information as the Secretary may re-
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quire, which shall include, at a minimum, a description 
of the following: 
(1) How such health profession school will en-
gage with vulnerable individuals, and stakeholder or-
ganizations representing such individuals, in devel-
oping and implementing the education and training 
programs supported by grant funds awarded under 
the Program. 
(2) How such health profession school will en-
sure that such education and training programs will 
address racial and ethnic disparities in exposure to, 
and the effects of, risks associated with climate 
change for vulnerable individuals. 
(d) USE
OF FUNDS.—A health profession school 
awarded a grant under the Program shall use the grant 
funds to develop, and integrate into the curriculum and 
continuing education of such health profession school, edu-
cation and training on each of the following: 
(1) Identifying risks associated with climate 
change for vulnerable individuals and individuals 
with the intent to become pregnant. 
(2) How risks associated with climate change 
affect vulnerable individuals and individuals with the 
intent to become pregnant. 
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(3) Racial and ethnic disparities in exposure to, 
and the effects of, risks associated with climate 
change for vulnerable individuals and individuals 
with the intent to become pregnant. 
(4) Patient counseling and mitigation strategies 
relating to risks associated with climate change for 
vulnerable individuals. 
(5) Relevant services and support for vulnerable 
individuals relating to risks associated with climate 
change and strategies for ensuring vulnerable indi-
viduals have access to such services and support. 
(6) Implicit and explicit bias, racism, and dis-
crimination. 
(7) Related topics identified by such health pro-
fession school based on the engagement of such 
health profession school with vulnerable individuals 
and stakeholder organizations representing such in-
dividuals. 
(e) PARTNERSHIPS.—In carrying out activities with 
grant funds, a health profession school awarded a grant 
under the Program may partner with one or more of the 
following: 
(1) A State or local public health department. 
(2) A health care professional membership or-
ganization. 
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(2) Recommendations to improve education and 
training programs at health profession schools with 
respect to identifying and addressing risks associ-
ated with climate change for vulnerable individuals. 
(h) HEALTH PROFESSION SCHOOL DEFINED.—In 
this section, the term ‘‘health profession school’’ means 
an accredited— 
(1) medical school; 
(2) school of nursing; 
(3) midwifery program; 
(4) physician assistant education program; 
(5) teaching hospital; 
(6) residency or fellowship program; or 
(7) other school or program determined appro-
priate by the Secretary. 
(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$5,000,000 for fiscal years 2022 through 2025. 
SEC. 4. NIH CONSORTIUM ON BIRTH AND CLIMATE CHANGE 
RESEARCH. 
(a) ESTABLISHMENT.—Not later than 1 year after 
the date of the enactment of this Act, the Director of the 
National Institutes of Health shall establish the Consor-
tium on Birth and Climate Change Research (in this sec-
tion referred to as the ‘‘Consortium’’). 
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(b) DUTIES.— 
(1) IN
GENERAL.—The Consortium shall co-
ordinate, across the institutes, centers, and offices of 
the National Institutes of Health, research on the 
risks associated with climate change for vulnerable 
individuals. 
(2) REQUIRED
ACTIVITIES.—In carrying out 
paragraph (1), the Consortium shall— 
(A) establish research priorities, including 
by prioritizing research that— 
(i) identifies the risks associated with 
climate change for vulnerable individuals 
with a particular focus on disparities in 
such risks among racial and ethnic minor-
ity groups and other underserved popu-
lations; and 
(ii) identifies strategies to reduce lev-
els of, and exposure to, such risks, with a 
particular focus on risks among racial and 
ethnic minority groups and other under-
served populations; 
(B) identify gaps in available data related 
to such risks; 
(C) identify gaps in, and opportunities for, 
research collaborations; 
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(D) identify funding opportunities for com-
munity-based organizations and researchers 
from racially, ethnically, and geographically di-
verse backgrounds; and 
(E) publish annual reports on the work 
and findings of the Consortium on a public 
website of the National Institutes of Health. 
(c) MEMBERSHIP.—The Director shall appoint to the 
Consortium representatives of such institutes, centers, and 
offices of the National Institutes of Health as the Director 
considers appropriate, including, at a minimum, rep-
resentatives of— 
(1) the National Institute of Environmental 
Health Sciences; 
(2) the National Institute on Minority Health 
and Health Disparities; 
(3) the Eunice Kennedy Shriver National Insti-
tute of Child Health and Human Development; 
(4) the National Institute of Nursing Research; 
and 
(5) the Office of Research on Women’s Health. 
(d) CHAIRPERSON.—The Chairperson of the Consor-
tium shall be designated by the Director and selected from 
among the representatives appointed under subsection (c). 
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(e) CONSULTATION.—In carrying out the duties de-
scribed in subsection (b), the Consortium shall consult 
with— 
(1) the heads of relevant Federal agencies, in-
cluding— 
(A) the Environmental Protection Agency; 
(B) the National Oceanic and Atmospheric 
Administration; 
(C) the Occupational Safety and Health 
Administration; and 
(D) from the Department of Health and 
Human Services— 
(i) the Office of Minority Health in 
the Office of the Secretary; 
(ii) the Centers for Medicare & Med-
icaid Services; 
(iii) the Health Resources and Serv-
ices Administration; 
(iv) the Centers for Disease Control 
and Prevention; 
(v) the Indian Health Service; and 
(vi) the Administration for Children 
and Families; and 
(2) representatives of— 
(A) stakeholder organizations; 
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(B) health care providers and professional 
membership organizations with expertise in ma-
ternal health or environmental justice; 
(C) State and local public health depart-
ments; 
(D) licensed and accredited hospitals, birth 
centers, midwifery practices, or other health 
care practices that provide prenatal or labor 
and delivery services to vulnerable individuals; 
and 
(E) institutions of higher education, in-
cluding such institutions that are minority-serv-
ing institutions or have expertise in maternal 
health or environmental justice. 
SEC. 5. STRATEGY FOR IDENTIFYING CLIMATE CHANGE 
RISK ZONES FOR VULNERABLE MOTHERS 
AND BABIES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Cen-
ters for Disease Control and Prevention, shall develop a 
strategy (in this section referred to as the ‘‘Strategy’’) for 
designating areas that the Secretary determines to have 
a high risk of adverse maternal and infant health out-
comes among vulnerable individuals as a result of risks 
associated with climate change. 
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(b) STRATEGY REQUIREMENTS.— 
(1) IN GENERAL.—In developing the Strategy, 
the Secretary shall establish a process to identify 
areas where vulnerable individuals are exposed to a 
high risk of adverse maternal and infant health out-
comes as a result of risks associated with climate 
change in conjunction with other factors that can 
impact such health outcomes, including— 
(A) the incidence of diseases associated 
with air pollution, extreme heat, and other envi-
ronmental factors; 
(B) the availability and accessibility of ma-
ternal and infant health care providers; 
(C) English-language proficiency among 
women of reproductive age; 
(D) the health insurance status of women 
of reproductive age; 
(E) the number of women of reproductive 
age who are members of racial or ethnic groups 
with disproportionately high rates of adverse 
maternal and infant health outcomes; 
(F) the socioeconomic status of women of 
reproductive age, including with respect to— 
(i) poverty; 
(ii) unemployment; 
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(iii) household income; and 
(iv) educational attainment; and 
(G) access to quality housing, transpor-
tation, and nutrition. 
(2) RESOURCES.—In developing the Strategy, 
the Secretary shall identify, and incorporate a de-
scription of, the following: 
(A) Existing mapping tools or Federal pro-
grams that identify— 
(i) risks associated with climate 
change for vulnerable individuals; and 
(ii) other factors that can influence 
maternal and infant health outcomes, in-
cluding the factors described in paragraph 
(1). 
(B) Environmental, health, socioeconomic, 
and demographic data relevant to identifying 
risks associated with climate change for vulner-
able individuals. 
(C) Existing monitoring networks that col-
lect data described in subparagraph (B), and 
any gaps in such networks. 
(D) Federal, State, and local stakeholders 
involved in maintaining monitoring networks 
identified under subparagraph (C), and how 
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such stakeholders are coordinating their moni-
toring efforts. 
(E) Additional monitoring networks, and 
enhancements to existing monitoring networks, 
that would be required to address gaps identi-
fied under subparagraph (C), including at the 
subcounty and census tract level. 
(F) Funding amounts required to establish 
the monitoring networks identified under sub-
paragraph (E) and recommendations for Fed-
eral, State, and local coordination with respect 
to such networks. 
(G) Potential uses for data collected and 
generated as a result of the Strategy, including 
how such data may be used in determining re-
cipients of grants under the program estab-
lished by section 2 or other similar programs. 
(H) Other information the Secretary con-
siders relevant for the development of the Strat-
egy. 
(c) COORDINATION AND CONSULTATION.—In devel-
oping the Strategy, the Secretary shall— 
(1) coordinate with the Administrator of the 
Environmental Protection Agency and the Adminis-
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trator of the National Oceanic and Atmospheric Ad-
ministration; and 
(2) consult with— 
(A) stakeholder organizations; 
(B) health care providers and professional 
membership organizations with expertise in ma-
ternal health or environmental justice; 
(C) State and local public health depart-
ments; 
(D) licensed and accredited hospitals, birth 
centers, midwifery practices, or other health 
care providers that provide prenatal or labor 
and delivery services to vulnerable individuals; 
and 
(E) institutions of higher education, in-
cluding such institutions that are minority-serv-
ing institutions or have expertise in maternal 
health or environmental justice. 
(d) NOTICE AND COMMENT.—At least 240 days be-
fore the date on which the Strategy is published in accord-
ance with subsection (e), the Secretary shall provide— 
(1) notice of the Strategy on a public website 
of the Department of Health and Human Services; 
and 
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(2) an opportunity for public comment of at 
least 90 days. 
(e) PUBLICATION.—Not later than 18 months after 
the date of the enactment of this Act, the Secretary shall 
publish on a public website of the Department of Health 
and Human Services— 
(1) the Strategy; 
(2) the public comments received under sub-
section (d); and 
(3) the responses of the Secretary to such pub-
lic comments. 
SEC. 6. DEFINITIONS. 
In this Act, the following definitions apply: 
(1) ADVERSE MATERNAL AND INFANT HEALTH 
OUTCOMES.—The term ‘‘adverse maternal and in-
fant health outcomes’’ includes the outcomes of 
preterm birth, low birth weight, stillbirth, infant or 
maternal mortality, and severe maternal morbidity. 
(2) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given such term in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001). 
(3) 
MINORITY-SERVING
INSTITUTION.—The 
term ‘‘minority-serving institution’’ means an entity 
specified in any of paragraphs (1) through (7) of 
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section 371(a) of the Higher Education Act of 1965 
(20 U.S.C. 1067q(a)). 
(4) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g) of the 
Public Health Service Act (42 U.S.C. 300u–6(g)). 
(5) 
RISKS
ASSOCIATED
WITH
CLIMATE 
CHANGE.—The term ‘‘risks associated with climate 
change’’ includes risks associated with extreme heat, 
air pollution, extreme weather events, and other en-
vironmental issues associated with climate change 
that can result in adverse maternal and infant 
health outcomes. 
(6) STAKEHOLDER ORGANIZATION.—The term 
‘‘stakeholder organization’’ means— 
(A) a community-based organization with 
expertise in providing assistance to vulnerable 
individuals; 
(B) a nonprofit organization with expertise 
in maternal or infant health or environmental 
justice; and 
(C) a patient advocacy organization rep-
resenting vulnerable individuals. 
(7) VULNERABLE INDIVIDUAL.—The term ‘‘vul-
nerable individual’’ means— 
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(A) an individual who is pregnant; 
(B) an individual who was pregnant during 
any portion of the preceding 1-year period; and 
(C) an individual under 3 years of age. 
Æ 
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