728 
nitive, sensory, or physical disability; sexual orienta-
tion or gender identity; geographic location; or other 
characterisitics historically linked to discrimination 
or exclusion. 
‘‘(8) PROPOSED ACTIVITY.—The term ‘proposed 
activity’ means a proposed policy, program, plan, or 
project currently under consideration by a local, 
State, tribal, or Federal agency or government. 
‘‘(b) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Director and in collaboration with the Admin-
istrator, shall carry out the following: 
‘‘(1) Establish a program at the National Cen-
ter for Environmental Health at the Centers for Dis-
ease Control and Prevention focused on advancing 
the field of Health Impact Assessment. In devel-
oping and implementing the program, the Director 
of the National Center for Environmental Health 
shall consult with the Director of the National Cen-
ter for Chronic Disease Prevention and Health Pro-
motion as well as relevant offices within the Depart-
ment of Housing and Urban Development, the De-
partment of Transportation, and the Department of 
Agriculture. The program shall include— 
‘‘(A) collecting and disseminating best 
practices; 
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‘‘(B) 
administering 
capacity 
building 
grants to States to support grantees in initi-
ating Health Impact Assessments, in accord-
ance with subsection (d); 
‘‘(C) providing technical assistance; 
‘‘(D) developing training tools and pro-
viding training on conducting Health Impact 
Assessment and the implementation of built en-
vironment and health indicators; 
‘‘(E) making information available, as ap-
propriate, regarding the existence of other com-
munity healthy living tools, checklists, and indi-
ces that help connect public health to other sec-
tors, and tools to help examine the effect of the 
indoor built environment and building codes on 
population health; 
‘‘(F) conducting research and evaluations 
of Health Impact Assessments; and 
‘‘(G) awarding competitive extramural re-
search grants. 
‘‘(2) In accordance with subsection (c), develop 
guidance and guidelines to conduct Health Impact 
Assessments. 
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‘‘(3) In accordance with subsection (d), estab-
lish a grant program to allow States to fund eligible 
entities to conduct Health Impact Assessments. 
‘‘(c) GUIDANCE.—The Director, in consultation with 
the Director of the National Center for Environmental 
Health and, the Director of the National Center for 
Chronic Disease Prevention and Health Promotion, and 
relevant offices within the Department of Housing and 
Urban Development, the Department of Transportation, 
and the Department of Agriculture, shall— 
‘‘(1) develop guidance for conducting Health 
Impact Assessment, including— 
‘‘(A) background on national and inter-
national efforts to bridge urban planning and 
public health institutions and disciplines, in-
cluding a review of Health Impact Assessment 
best practices internationally; 
‘‘(B) evidence-based direct and indirect 
pathways that link land-use planning, transpor-
tation, and housing policy and objectives to 
human health outcomes; 
‘‘(C) data resources and quantitative and 
qualitative forecasting methods to evaluate both 
the status of health determinants and health ef-
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fects, including identification of existing pro-
grams that can disseminate these resources; 
‘‘(D) best practices for inclusive public in-
volvement in conducting Health Impact Assess-
ments; and 
‘‘(E) technical assistance for other agen-
cies seeking to develop their own guidelines and 
procedures for Health Impact Assessment; 
‘‘(2) in developing the guidance, consider avail-
able international Health Impact Assessment guid-
ance, North American Health Impact Assessment 
Practice Standards, and recommendations from the 
National Academy of Science; and 
‘‘(3) not later than 1 year after the date of en-
actment of this section, publish the guidance. 
‘‘(d) GRANT
PROGRAM.—The Secretary, acting 
through the Director and in collaboration with the Admin-
istrator, shall establish a program under which the Sec-
retary shall award grants to States to fund eligible entities 
for capacity building or to prepare Health Impact Assess-
ments, and shall ensure that States receiving a grant 
under this subsection further support training and tech-
nical assistance for grantees under the program by fund-
ing and overseeing appropriate local, State, tribal, Fed-
eral, university, or nonprofit Health Impact Assessment 
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experts to provide technical assistance. Such assessments 
shall— 
‘‘(1) ensure that appropriate health factors are 
taken into consideration as early as practicable dur-
ing the planning, review, or decisionmaking proc-
esses; 
‘‘(2) assess the effect on the health of individ-
uals and populations of proposed policies, projects, 
or plans that result in modifications to the built en-
vironment; and 
‘‘(3) assess the distribution of health effects 
across various factors, such as race, income, eth-
nicity, age, disability status, gender, and geography. 
‘‘(e) APPLICATIONS.— 
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under this section, an eligible entity shall sub-
mit to the Secretary an application in accordance 
with this subsection, at such time, in such manner, 
and containing such additional information as the 
Secretary may require. 
‘‘(2) INCLUSION.—An application under this 
subsection shall include a list of proposed activities 
that require or would benefit from conducting a 
Health Impact Assessment within six months of 
awarding funds. The list should be accompanied by 
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