Sec. 502. Building a community health workforce for the climate crisis
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Section 399V of the Public Health Service Act ( 42 U.S.C. 280g–11 ) is amended— in subsection (b)— by redesignating the paragraphs
(2)through
(6)as paragraphs
(4)through (8), respectively; by inserting after paragraph
(1)the following: build career paths for community health workers by— establishing accessible, inclusive, low-cost or no-cost training, credentialing, or apprenticeship opportunities for community health workers to acquire skills and expertise concerning health risks caused by climate change and environmental hazards; establishing accessible, inclusive, low-cost or no-cost educational, training, credentialing, or apprenticeship opportunities for entry into the community health worker profession; or expanding career advancement opportunities and career pathways, including scholarships for advanced or specialized training; expand the community health workforce by establishing permanent community health worker positions that pay, at minimum, the prevailing wage for such workers, through long-term, stable funding, in order to staff the medical needs of a community sufficiently while ensuring reasonable workloads for individual workers; ; in paragraph
(4)(as so redesignated)— in subparagraph (A)(i), by inserting and linguistically isolated populations before the semicolon; and in subparagraph (B)— in clause (i), by striking and after the semicolon; by redesignating clause
(ii)as clause (iii); and by inserting after clause
(i)the following: connecting population groups at disproportionate risk for specific health threats and effects from environmental hazards, climate change, and extreme weather, such as increased heat-related illnesses and injuries, degraded air and water quality, vector-borne illnesses, mental and behavioral health effects, and food, water, and nutrient insecurity to available resources; and ; in paragraph
(7)(as so redesignated), by striking and after the semicolon; in paragraph
(8)(as so redesignated), by striking the period at the end and inserting a semicolon; and by adding at the end the following: support community health workers in educating, guiding, and providing home visitation services regarding the assessment and mitigation of the health risks of climate change, including geography-specific and condition-specific risks and environmental health hazards and the cumulative health impacts of such risks and hazards; and provide outreach and communication to promote preparedness and response strategies to climate change and extreme weather. ; in subsection (d)— in paragraph (1)— in subparagraph (D), by striking or at the end; in subparagraph (E), by adding or after the semicolon; and by adding at the end the following: environmental justice communities (as defined in section 2 of the Green New Deal for Health Act ); ; in paragraph (3), by inserting and experience training community health workers before the semicolon; in paragraph (4), by striking and at the end; in paragraph (5), by striking the period at the end and inserting ; and ; and by adding at the end the following: have a documented collective bargaining agreement with 1 or more labor organizations representing employees of the applicant or have an explicit policy not to interfere with the rights of employees of the applicant under section 7 of the National Labor Relations Act. ; by redesignating subsections
(e)through
(j)as subsections
(f)through (k), respectively; by inserting after subsection
(d)the following: The Secretary, in consultation with the Secretary of Labor, shall develop a plan to expand the community health workforce by 150,000 workers by 2028 through the creation of career pathways, full-time positions, and training opportunities described in subsection (b). ; in subsection
(j)(as so redesignated), by striking $50,000,000 for each of fiscal years 2023 through 2027 and inserting $10,000,000,000 for each of fiscal years 2024 through 2033 ; and in paragraph
(1)of subsection
(k)(as so redesignated)— by inserting a nonprofit community health organization, a nonprofit community health worker association, after a public health department, ; and by striking ((as defined and inserting (as defined .
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- 42 USC 280g–11
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Sec. 502
Building a community health workforce for the climate crisis
Cite42 USC 280g–11
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