The proposed legislation, General Assembly Raised Bill No. 5241, aims to establish a Triple Bottom Line Justice (TBLJ) demonstration pilot program, effective October 1, 2026. This program will integrate evidence-based practices, rule of law, and community engagement to address health, environmental, and economic challenges in communities. The bill defines key terms such as "ICD-10 Z codes," which relate to social determinants of health, and "Brownfields to Healthfields" (B2H), a methodology for redeveloping contaminated properties to enhance community resilience. The Commissioner of Public Health, in collaboration with the Commissioner of Energy and Environmental Protection, is tasked with launching this pilot program in a city with a population exceeding 148,000 and partnering with a community-led redevelopment organization.

The program's objectives include developing a methodology for environmental remediation through B2H, utilizing ICD-10 Z codes to secure additional healthcare resources for communities facing environmental stressors, and assessing the integrated benefits of B2H. The bill mandates the identification of relevant ICD-10 Z codes and aims to increase their utilization in health insurance claims to at least 20% by January 1, 2030. Additionally, the Commissioner of Public Health is required to report annually on the plan's progress and to design an educational program for stakeholders. A final report on the pilot program's findings and recommendations is due by January 1, 2028, marking the program's conclusion.