(iv) is at disproportionate risk of ex-
periencing the adverse effects of climate 
change. 
(f) PLANNING ACTIVITIES.—Planning and evaluation 
activities carried out by an eligible entity using grant 
funds received under subsection (b) shall include 1 or 
more of the following: 
(1) Performing project planning, community 
outreach and engagement, feasibility studies, and 
needs assessments of the local community and pa-
tient populations. 
(2) Performing engineering and climate-risk as-
sessments of the medical facility infrastructure and 
the access routes to the medical facility. 
(3) Providing management and operational as-
sistance for developing and receiving funding for the 
proposed project. 
(4) Other planning and evaluation activities and 
assessments as the Secretary determines appro-
priate. 
(g) PROPOSED PROJECTS.—Construction and mod-
ernization activities carried out by a proposed project 
under a sustainability and resiliency plan developed pursu-
ant to a planning grant received under subsection (b) may 
include— 
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(1) improvements to the infrastructure, build-
ings, and grounds of the medical facility, includ-
ing— 
(A) installation of onsite distributed gen-
eration that combines energy-efficient devices, 
energy storage, and renewable energy in accord-
ance with modern electrical safety standards for 
medical facilities to allow the medical facility to 
access essential energy during power outages 
and optimize use of onsite and offsite energy 
sources for emissions reductions; and 
(B) improving air conditioning, monitoring, 
and purifying through installation of high-effi-
ciency heat pumps that provide both cooling 
and heating, air purifiers, air filtration systems, 
and air quality monitoring systems integrated 
with energy systems and energy efficiency con-
siderations in preparation for future natural 
hazards and public health crises such as wild-
fire, smog, extreme heat events, and pandemics; 
(2) green infrastructure projects, such as— 
(A) installation and maintenance of wet-
lands, drainage ponds, and any other green in-
frastructure that would protect the medical fa-
cility from projected severe effects with respect 
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to extreme weather, natural disasters, or cli-
mate change-related events, including sea-level 
rise, flooding, and increased risk of wildfire; 
and 
(B) green rooftops, walls, and indoor 
plantings, particularly those that can provide 
publicly accessible temperature management 
and air quality improvements; 
(3) resiliency projects to secure local accessi-
bility to the medical facility by protecting the access 
routes to the medical facility, such as— 
(A) infrastructure upgrades that protect 
access routes to the medical facility, such as 
long-term flood, wildfire, and other disaster 
mitigation for the roads, sidewalks, and public 
transit infrastructure that service the medical 
facility; and 
(B) 
the 
long-term 
maintenance 
of 
decarbonization and zero-emissions infrastruc-
ture; and 
(4) any other type of activity the Secretary de-
termines will increase the sustainability and resil-
iency of a medical facility and protect patient health 
and community access during extreme weather. 
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(h) AMOUNT OF GRANT.—The total amount of a 
grant under subsection (b) shall not exceed $500,000. 
(i) TECHNICAL ASSISTANCE.—The Secretary, in co-
ordination with the Secretary of Energy, the Adminis-
trator of the Environmental Protection Agency, and the 
Secretary of Transportation, if necessary, directly or 
through partnerships with States, Tribal governments, 
and nonprofit organizations, shall provide technical assist-
ance to eligible entities interested in carrying out proposed 
projects that— 
(1) serve environmental justice communities or 
medically underserved communities; 
(2) demonstrate a commitment to provide job 
training, apprenticeship programs, and contracting 
opportunities to residents and small businesses 
owned by residents of the community that the med-
ical facility serves; 
(3) identify and further community priority ac-
tions and conduct robust community engagement; 
and 
(4) employ nature-based solutions that focus on 
protection, restoration, or management of ecological 
systems to safeguard public health, provide clean air 
and water, increase natural hazard resilience, and 
sequester carbon. 
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(j) PROHIBITION ON TRAINING REPAYMENT.—As a 
condition of receiving a grant or technical assistance under 
this section, an eligible entity shall certify that the eligible 
entity does not use, and if the eligible entity contracts with 
any staffing agency or training provider, that such agency 
or provider does not use, any provision in employment 
agreements, job training agreements, or apprenticeship 
program agreements that would require an employee or 
training or apprenticeship program participant to pay a 
debt if the employee or training or apprenticeship program 
participant’s employment or work relationship or training 
period with a specified employer or business entity is ter-
minated. 
(k) ENVIRONMENTAL JUSTICE COMMUNITIES.—The 
Secretary shall ensure that not less than 50 percent of 
grant funds awarded under subsection (b) are used for 
sustainability and resiliency plans for proposed projects lo-
cated in environmental justice communities. 
(l) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to the Secretary to carry 
out this section $5,000,000,000 for fiscal year 2024, to 
remain available until expended. 
Æ 
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