[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2675 Introduced in Senate (IS)]

<DOC>






119th CONGRESS
  1st Session
                                S. 2675

    To reduce the health risks of heat by establishing the National 
 Integrated Heat Health Information System within the National Oceanic 
and Atmospheric Administration and the National Integrated Heat Health 
   Information System Interagency Committee to improve extreme heat 
     preparedness, planning, and response, requiring a study, and 
establishing financial assistance programs to address heat effects, and 
                          for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             August 1, 2025

 Mr. Markey (for himself, Mr. Padilla, Mr. Gallego, Mr. Heinrich, Mr. 
Blumenthal, Mr. Merkley, Mr. Wyden, Ms. Duckworth, Mr. Booker, and Mr. 
   Sanders) introduced the following bill; which was read twice and 
   referred to the Committee on Commerce, Science, and Transportation

_______________________________________________________________________

                                 A BILL


 
    To reduce the health risks of heat by establishing the National 
 Integrated Heat Health Information System within the National Oceanic 
and Atmospheric Administration and the National Integrated Heat Health 
   Information System Interagency Committee to improve extreme heat 
     preparedness, planning, and response, requiring a study, and 
establishing financial assistance programs to address heat effects, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preventing Health Emergencies And 
Temperature-related Illness and Deaths Act of 2025'' or the 
``Preventing HEAT Illness and Deaths Act of 2025''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Community with environmental justice concerns.--The 
        term ``community with environmental justice concerns'' means a 
        community with significant representation of communities of 
        color, low-income communities, or Tribal and indigenous 
        communities, that experiences, or is at risk of experiencing, 
        higher or more adverse human health or environmental effects as 
        compared to other communities.
            (2) Extreme heat.--The term ``extreme heat'' means heat 
        that substantially exceeds local climatological norms in terms 
        of any combination of the following:
                    (A) Duration.
                    (B) Intensity.
                    (C) Season length.
                    (D) Frequency.
            (3) Heat.--The term ``heat'' means any combination of the 
        atmospheric parameters associated with modulating human 
        thermoregulation, such as air temperature, humidity, solar 
        exposure, and wind speed.
            (4) Heat event.--The term ``heat event'' means an 
        occurrence of extreme heat of 2 days or more that may have 
        heat-health implications.
            (5) Heat-health.--The term ``heat-health'' means health 
        effects to humans from heat, during or outside of heat events, 
        including from vulnerability and exposure, or the risk of such 
        effects.
            (6) Indian tribe.--The term ``Indian Tribe'' has the 
        meaning given that term in section 4 of the Indian Self-
        Determination and Education Assistance Act (25 U.S.C. 5304).
            (7) Native hawaiian organization.--The term ``Native 
        Hawaiian organization'' has the meaning given that term in 
        section 6207 of the Elementary and Secondary Education Act of 
        1965 (20 U.S.C. 7517).
            (8) Planning.--The term ``planning'' means activities 
        performed across timescales (including days, weeks, months, 
        years, and decades) with scenario-based, probabilistic or 
        deterministic information to identify and take actions to 
        proactively mitigate heat-health risks from increased 
        frequency, duration, and intensity of heat waves and increased 
        ambient temperature.
            (9) Preparedness.--The term ``preparedness'' means 
        activities performed across timescales (including days, weeks, 
        months, years, and decades) with decision support tools to 
        manage risk in advance of a heat event and increased ambient 
        temperature.
            (10) Response.--The term ``response'' means activities 
        performed during and after a heat event to address heat-health 
        and other impacts and assess improvements to planning and 
        preparedness activities.
            (11) Urban heat island.--The term ``urban heat island'' 
        means the phenomenon observed in urbanized areas in which heat 
        is more extreme than in the surrounding exurban areas and heat 
        is heterogeneously distributed within urbanized areas, due to 
        factors including--
                    (A) low albedo and impervious surfaces;
                    (B) low vegetation coverage; and
                    (C) waste heat produced in urban areas.

SEC. 3. FINDINGS.

    Congress makes the following findings:
            (1) Extreme heat events have been the leading cause of 
        weather-related death in the United States over the last 30 
        years, according to the Centers for Disease Control and 
        Prevention and the National Weather Service.
            (2) The fourth National Climate Assessment, mandated by the 
        Global Change Research Act of 1990 (15 U.S.C. 2921 et seq.), 
        finds that during the next few decades, annual average 
        temperature over the contiguous United States is projected to 
        increase by a further 2.2F relative to current temperatures, 
        regardless of future scenarios. The National Climate Assessment 
        projects that the frequency and intensity of extreme heat 
        events will increase in the future as global temperature 
        increases.
            (3) Exposure to extreme heat can cause acute heat-related 
        illnesses, such as heat stroke, which already result in more 
        than 65,000 emergency room visits each year and exacerbate 
        respiratory and cardiovascular illnesses.
            (4) Heat poses the greatest health risks for adults older 
        than 65 years of age, pregnant people, young children, low-
        income communities, urban communities, communities with low air 
        conditioning prevalence, socially isolated individuals, people 
        with mental or physical disabilities, people with underlying 
        medical conditions, agricultural or other outdoor workers, 
        workers without sufficient access to cooling, athletes, 
        incarcerated individuals, people experiencing homelessness, and 
        military personnel.
            (5) Extreme heat is significantly associated with serious 
        adverse pregnancy outcomes across the United States. Those 
        adverse pregnancy outcomes disproportionately impact Black 
        mothers.
            (6) Heat exposure is an issue of environmental justice, as 
        people living in low-income communities, communities of color, 
        and Tribal nations face a number of interacting factors that 
        render them more vulnerable to extreme heat.
            (7) The impacts of heat on human health are more severe in 
        urban areas where land surface properties create an urban heat 
        island, particularly in neighborhoods with limited availability 
        of or access to green spaces, shade, and tree cover, due to 
        higher density of building structures and more vehicular 
        traffic.
            (8) Limited availability of tree cover and higher 
        temperatures are correlated with low-income neighborhoods in 
        urban areas. In Richmond, Virginia, Baltimore, Maryland, and 
        Washington, DC, researchers found that risk of exposure to 
        extreme heat is disproportionately distributed to communities 
        of color in patterns associated with segregation and redlining.
            (9) Researchers have found that few communities in the 
        United States have sufficient climate and health information, 
        guidance, and resources for heat planning, preparedness, and 
        response.
            (10) The risks associated with extreme heat have complex 
        interactions and impacts, and the management of those risks 
        requires a transdisciplinary approach.
            (11) Regions, communities, and populations that face the 
        greatest health consequences of extreme heat often may 
        experience the lowest heat risk perceptions, have limited 
        incentives, or have access to the fewest resources for 
        responding to extreme heat, and as such, may be less likely to 
        take precautions.
            (12) Research on the impacts of extreme heat on human 
        health and the effectiveness of solutions under varying 
        climate, social, and other contexts is stymied by a lack of 
        access to reliable, timely health observations and surveillance 
        due to proprietary data rights, expense, privacy and security 
        concerns, inconsistent reporting of health outcomes and 
        contributory factors, poor data integration and 
        interoperability, few incentives and little systematic 
        coordination to address those problems, and a lack of adequate 
        climate observation, modeling, and assessment in rural, urban, 
        indoor, and occupational settings.
            (13) Integrated climate and health research and 
        information, when developed in a collaborative, 
        transdisciplinary manner, can inform long- and medium-range 
        scenario-based planning and decision making to protect 
        communities with environmental justice concerns and other 
        populations from extreme heat, reduce exposure to extreme heat, 
        and address factors that increase vulnerability.
            (14) The Federal Government has developed, and should 
        maintain, preserve, or reinstate, various science-informed 
        heat-health tools for communities with environmental justice 
        concerns, workers, employers, and the public to understand heat 
        risk and resources, including the Centers for Disease Control 
        and Prevention Heat and Health Tracker, the Office of Climate 
        Change and Health Equity Climate and Health Outlook, the 
        National Weather Service HeatRisk portal, the National 
        Emergency Medical Services Information System Heat-related 
        Emergency Management Service Activation Surveillance Dashboard, 
        and the Low Income Home Energy Assistance Program and Extreme 
        Heat website.
            (15) Increased heat can have cascading and compounding 
        impacts across and among sectors including energy, food supply 
        and quality, transportation, housing, infrastructure, hospital 
        and healthcare delivery, and education, all of which affect 
        health and well-being.
            (16) Heat action plans and early warning systems can reduce 
        heat-related morbidity and mortality by clearly identifying 
        roles and responsibilities as well as evidence-based actions 
        and thresholds to enhance preparedness, and by promoting 
        behavior changes and actions taken by local governments, 
        communities, and individuals through awareness and increased 
        risk perception among those most vulnerable to the health 
        impacts of heat.

SEC. 4. NATIONAL INTEGRATED HEAT HEALTH INFORMATION SYSTEM INTERAGENCY 
              COMMITTEE.

    (a) Establishment of Committee.--There is established within the 
National Oceanic and Atmospheric Administration an interagency 
committee, to be known as the ``National Integrated Heat Health 
Information System Interagency Committee'' (in this section referred to 
as the ``Committee'').
    (b) Purpose.--The Committee shall coordinate, plan, and direct 
agencies represented on the Committee to execute, as appropriate, 
activities across such agencies to ensure a united Federal approach to 
reducing health risks from heat across timescales (including days, 
weeks, months, years, and decades).
    (c) Membership.--
            (1) In general.--In order to carry out and achieve the 
        purpose described in subsection (b), the Committee shall 
        include the following:
                    (A) The Director of the National Integrated Heat 
                Health Information System.
                    (B) Not fewer than 1 representative from each of 
                the following:
                            (i) From the Department of Commerce, the 
                        following:
                                    (I) From the National Oceanic and 
                                Atmospheric Administration, the 
                                following:
                                            (aa) The National Weather 
                                        Service.
                                            (bb) The Office of Oceanic 
                                        and Atmospheric Research.
                                            (cc) The National 
                                        Environmental Satellite, Data, 
                                        and Information Service.
                                    (II) The National Institute of 
                                Standards and Technology.
                                    (III) The Bureau of the Census.
                            (ii) From the Department of Health and 
                        Human Services, the following:
                                    (I) The Centers for Disease Control 
                                and Prevention, including the National 
                                Institute for Occupational Safety and 
                                Health.
                                    (II) The Office of the Assistant 
                                Secretary of Health and Human Services 
                                for Preparedness and Response.
                                    (III) The Substance Abuse and 
                                Mental Health Services Administration.
                                    (IV) The National Institutes of 
                                Health.
                                    (V) The Indian Health Service.
                                    (VI) The Administration for 
                                Children and Families.
                                    (VII) The Administration for 
                                Community Living.
                            (iii) From the Department of the Interior, 
                        the following:
                                    (I) The Bureau of Indian Affairs.
                                    (II) The Bureau of Land Management.
                                    (III) The National Park Service.
                                    (IV) The Office of Hawaiian 
                                Relations.
                            (iv) From the Environmental Protection 
                        Agency, the following:
                                    (I) The Office of Environmental 
                                Justice and External Civil Rights.
                                    (II) The Office of Air and 
                                Radiation, if the Administrator of the 
                                Environmental Protection Agency 
                                determines appropriate.
                                    (III) The Office of Research and 
                                Development, if the Administrator 
                                determines appropriate.
                                    (IV) The Office of International 
                                and Tribal Affairs.
                            (v) The Department of Homeland Security, 
                        including the Federal Emergency Management 
                        Agency.
                            (vi) The Department of Defense.
                            (vii) The Department of Agriculture, 
                        including the United States Forest Service.
                            (viii) The Department of Housing and Urban 
                        Development.
                            (ix) The Department of Transportation.
                            (x) The Department of Energy.
                            (xi) The Department of Labor, including the 
                        Occupational Safety and Health Administration.
                            (xii) The Department of Veterans Affairs.
                            (xiii) The Department of Education.
                            (xiv) The Department of State.
                            (xv) The Small Business Administration.
                            (xvi) Such other Federal agencies as the 
                        Under Secretary of Commerce for Oceans and 
                        Atmosphere considers appropriate.
            (2) Selection of representatives.--The head of an agency 
        specified in paragraph (1)(B) shall, in appointing 
        representatives of the agency to the Committee, select 
        representatives who have expertise in areas relevant to the 
        responsibilities of the Committee, such as weather and climate 
        prediction, health impacts, environmental justice, urban 
        planning, behavioral science, public health hazard preparedness 
        and response, or mental health services.
            (3) Co-chairs.--
                    (A) In general.--The members of the Committee shall 
                select 3 individuals from among such members to serve 
                as co-chairs of the Committee, subject to the approval 
                of the Under Secretary of Commerce for Oceans and 
                Atmosphere.
                    (B) Selection.--
                            (i) Initial selection.--Of the co-chairs 
                        first selected, one co-chair shall be from each 
                        of the National Oceanic and Atmospheric 
                        Administration, the Department of Health and 
                        Human Services, and the Federal Emergency 
                        Management Agency.
                            (ii) Subsequent selection.--Subsequent co-
                        chairs shall be selected from among the members 
                        of the Committee, except the National Oceanic 
                        and Atmospheric Administration shall have the 
                        opportunity to maintain a co-chair position.
                    (C) Terms.--Each co-chair shall serve for a term of 
                not more than 5 years, except the National Oceanic and 
                Atmospheric Administration shall have the opportunity 
                to maintain a co-chair position.
                    (D) Representation of national oceanic and 
                atmospheric administration.--If determined appropriate 
                by the Under Secretary of Commerce for Oceans and 
                Atmosphere, 1 co-chair of the Committee shall be a 
                representative from the National Oceanic and 
                Atmospheric Administration.
                    (E) Responsibilities of co-chairs.--The co-chairs 
                of the Committee shall work with th