Healthy Places Act of 2006 - Requires the Secretary of Health and Human Services to establish an interagency working group to discuss environmental health concerns, particularly concerns disproportionately affecting disadvantaged populations.
Requires the Secretary, acting through the Director of the Centers for Disease Control and Prevention (CDC), to establish a program at the National Center of Environmental Health at CDC focused on advancing the field of health impact assessment.
Requires the Director to develop guidance for the assessment of potential health effects of land use, housing, and transportation policy and plans.
Requires the Secretary, acting through the Director, to: (1) establish a program to provide funding and technical assistance to state or local governments affected or potentially affected by an activity or proposed activity to prepare health impact assessments; and (2) establish and maintain a health impact assessment database.
Requires the Director to establish a grant program to award grants to state or local communities for environmental health improvement activities. Requires grantees to: (1) establish a planning and prioritizing council; and (2) conduct environmental health assessment.
Requires the Secretary to provide grants to public or private nonprofit institutions to conduct and coordinate research on the built environment and its influence on individual and population-based health.
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[S. 2506 Introduced in Senate (IS)]
109th CONGRESS
2d Session
S. 2506
To require Federal agencies to support health impact assessments and
take other actions to improve health and the environmental quality of
communities, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
April 4, 2006
Mr. Obama (for himself, Mr. Durbin, Mrs. Clinton, and Mr. Kerry)
introduced the following bill; which was read twice and referred to the
Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To require Federal agencies to support health impact assessments and
take other actions to improve health and the environmental quality of
communities, 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 ``Healthy Places Act of 2006''.
SEC. 2. DEFINITIONS.
In this Act:
(1) Administrator.--The term ``Administrator'' means the
Administrator of the Environmental Protection Agency.
(2) Built environment.--The term ``built environment''
means an environment consisting of all buildings, spaces, and
products that are created or modified by people, including--
(A) homes, schools, workplaces, parks and
recreation areas, greenways, business areas, and
transportation systems;
(B) electric transmission lines;
(C) waste disposal sites; and
(D) land-use planning and policies that impact
urban, rural, and suburban communities.
(3) Director.--The term ``Director'' means the Director of
the Centers for Disease Control and Prevention.
(4) Environmental health.--The term ``environmental
health'' means the health and well-being of a population as
affected by--
(A) the direct pathological effects of chemicals,
radiation, and some biological agents; and
(B) the effects (often indirect) of the broad
physical, psychological, social, and aesthetic
environment.
(5) Health impact assessment.--The term ``health impact
assessment'' means any combination of procedures, methods,
tools, and means used under section 4 to analyze the actual or
potential effects of a policy, program, or project on the
health of a population (including the distribution of those
effects within the population).
(6) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
SEC. 3. INTERAGENCY WORKING GROUP ON ENVIRONMENTAL HEALTH.
(a) Definitions.--In this section:
(1) Institute.--The term ``Institute'' means the Institute
of Medicine of the National Academies of Science.
(2) IWG.--The term ``IWG'' means the interagency working
group established under subsection (b).
(b) Establishment.--The Secretary, in coordination with the
Administrator, shall establish an interagency working group to discuss
environmental health concerns, particularly concerns disproportionately
affecting disadvantaged populations.
(c) Membership.--The IWG shall be composed of a representative from
each Federal agency (as appointed by the head of the agency) that has
jurisdiction over, or is affected by, environmental policies and
projects, including--
(1) the Council on Environmental Quality;
(2) the Department of Agriculture;
(3) the Department of Commerce;
(4) the Department of Defense;
(5) the Department of Education;
(6) the Department of Energy;
(7) the Department of Health and Human Services;
(8) the Department of Housing and Urban Development;
(9) the Department of the Interior;
(10) the Department of Justice;
(11) the Department of Labor;
(12) the Department of State;
(13) the Department of Transportation;
(14) the Environmental Protection Agency; and
(15) such other Federal agencies as the Administrator and
the Secretary jointly determine to be appropriate.
(d) Duties.--The IWG shall--
(1) facilitate communication and partnership on
environmental health-related projects and policies--
(A) to generate a better understanding of the
interactions between policy areas; and
(B) to raise awareness of the relevance of health
across policy areas to ensure that the potential
positive and negative health consequences of decisions
are not overlooked;
(2) serve as a centralized mechanism to coordinate a
national effort--
(A) to discuss and evaluate evidence and knowledge
on the relationship between the general environment and
the health of the population of the United States;
(B) to determine the range of effective, feasible,
and comprehensive actions to improve environmental
health; and
(C) to examine and better address the influence of
social and environmental determinants of health;
(3) survey Federal agencies to determine which policies are
effective in encouraging, and how best to facilitate outreach
without duplicating, efforts relating to environmental health
promotion;
(4) establish specific goals within and across Federal
agencies for environmental health promotion, including
determinations of accountability for reaching those goals;
(5) develop a strategy for allocating responsibilities and
ensuring participation in environmental health promotions,
particularly in the case of competing agency priorities;
(6) coordinate plans to communicate research results
relating to environmental health to enable reporting and
outreach activities to produce more useful and timely
information;
(7) establish an interdisciplinary committee to continue
research efforts to further understand the relationship between
the built environment and health factors (including air
quality, physical activity levels, housing quality, access to
primary health care practitioners and health care facilities,
injury risk, and availability of nutritional, fresh food) that
coordinates the expertise of the public health, urban planning,
and transportation communities;
(8) develop an appropriate research agenda for Federal
agencies--
(A) to support--
(i) longitudinal studies;
(ii) rapid-response capability to evaluate
natural conditions and occurrences; and
(iii) extensions of national databases; and
(B) to review evaluation and economic data relating
to the impact of Federal interventions on the
prevention of environmental health concerns;
(9) initiate environmental health impact demonstration
projects to develop integrated place-based models for
addressing community quality-of-life issues;
(10) provide a description of evidence-based best
practices, model programs, effective guidelines, and other
strategies for promoting environmental health;
(11) make recommendations to improve Federal efforts
relating to environmental health promotion and to ensure
Federal efforts are consistent with available standards and
evidence and other programs in existence as of the date of
enactment of this Act;
(12) monitor Federal progress in meeting specific
environmental health promotion goals;
(13) assist in ensuring, to the maximum extent practicable,
integration of the impact of environmental policies, programs,
and activities on the areas under Federal jurisdiction;
(14) assist in the implementation of the recommendations
from the reports of the Institute of Medicine entitled ``Does
the Built Environment Influence Physical Activity? Examining
the Evidence'' and dated January 11, 2005, and ``Rebuilding the
Unity of Health and the Environment: A New Vision of
Environmental Health for the 21st Century'' and dated January
22, 2001, including recommendations for--
(A) the expansion of national public health and
travel surveys to provide more detailed information
about the connection between the built environment and
health, including expansion of such surveys as--
(i) the Behavioral Risk Factor Surveillance
System, the National Health and Nutrition
Examination Survey, and the National Health
Interview Survey conducted by the Centers for
Disease Control and Prevention;
(ii) the American Community survey
conducted by the Census Bureau;
(iii) the American Time Use Survey
conducted by the Bureau of Labor Statistics;
(iv) the Youth Risk Behavior Survey
conducted by the Centers for Disease Control
and Prevention; and
(v) the National Longitudinal Cohort Survey
of American Children (the National Children's
Study) conducted by the National Institute of
Child Health and Human Development;
(B) collaboration with national initiatives to
learn from natural experiments such as observations
from changes in the built environment and the
consequent effects on health;
(C) development of a program of research with a
defined mission and recommended budget, concentrating
on multiyear projects and enhanced data collection;
(D) development of interdisciplinary education
programs--
(i) to train professionals in conducting
recommended research; and
(ii) to prepare practitioners with
appropriate skills at the intersection of
physical activity, public health,
transportation, and urban planning;
(15) not later than 2 years after the date of enactment of
this Act, submit to Congress a report that describes the extent
to which recommendations from the Institute of Medicine reports
described in paragraph (14) were executed; and
(16) assist the Director with the development of guidance
for the assessment of the potential health effects of land use,
housing, and transportation policy and plans.
(e) Meetings.--
(1) In general.--The IWG shall meet at least 3 times each
year.
(2) Annual conference.--The Secretary, acting through the
Director and in collaboration with the Administrator, shall
sponsor an annual conference on environmental health and health
disparities to enhance coordination, build partnerships, and
share best practices in environmental health data collection,
analysis, and reporting.
(f) Authorization of Appropriations.--There are authorized to be
appropriated such sums as are necessary to carry out this section.
SEC. 4. HEALTH IMPACT ASSESSMENTS.
(a) Definition of Eligible Entity.--In this section, the term
``eligible entity'' means any unit of State or local government the
jurisdiction of which includes individuals or populations the health of
which are or will be affected by an activity or a proposed activity.
(b) Establishment.--The Secretary, acting through the Director and
in collaboration with the Administrator, shall--
(1) establish a program at the National Center of
Environmental Health at the Centers for Disease Control and
Prevention focused on advancing the field of health impact
assessment, including--
(A) collecting and disseminating best practices;
(B) administering capacity building grants, in
accordance with subsection (d);
(C) providing technical assistance;
(D) providing training;
(E) conducting evaluations; and
(F) awarding competitive extramural research
grants;
(2) in accordance with subsection (f), develop guidance to
conduct health impact assessments; and
(3) establish a grant program to allow eligible entities to
conduct health impact assessments.
(c) Guidance.--The Director, in collaboration with the IWG, shall--
(1) develop guidance for the assessment of the potential
health effects of land use, housing, and transportation policy
and plans, including--
(A) background on international efforts to bridge
urban planning and public health institutions and
disciplines, including a review of health impact
assessment best practices internationally;
(B) evidence-based causal pathways that link urban
planning, transportation, and housing policy and
objectives to human health objectives;
(C) data resources and quantitative and qualitative
forecasting methods to evaluate both the status of
health determinants and health effects; and
(D) best practices for inclusive public involvement
in planning decision-making;
(2) not later than 1 year after the date of enactment of
this Act, promulgate the guidance; and
(3) present the guidance to the public at the annual
conference described in section 3(e)(2).
(d) Grant Program.--The Secretary, acting through the Director and
in collaboration with the Administrator, shall establish a program
under which the Secretary shall provide funding and technical
assistance to eligible entities to prepare health impact assessments--
(1) to ensure that appropriate health factors are taken
into consideration as early as practicable during any planning,
review, or decision-making process; and
(2) to evaluate the effect on the health of individuals and
populations, and on social and economic development, of
decisions made outside of the health sector that result in
modifications of a physical or social environment.
(e) Applications.--
(1) In general.--To receive a grant under this section, an
eligible entity shall submit to the Secretary an application in
accordance with this subsection, in such time, in such manner,
and containing such additional information as the Secretary may
require.
(2) Inclusion.--
(A) In general.--An application under this
subsection shall include an assessment by the eligible
entity of the probability that an applicable activity
or proposed activity will have at least 1 significant,
adverse health effect on an individual or population in
the jurisdiction of the eligible entity, based on the
criteria described in subparagraph (B).
(B) Criteria.--The criteria referred to in
subparagraph (A) include, with respect to the
applicable activity or proposed activity--
(i) any substantial adverse effect on--
(I) existing air quality, ground or
surface water quality or quantity, or
traffic or noise levels;
(II) a significant habitat area;
(III) physical activity;
(IV) injury;
(V) mental health;
(VI) social capital;
(VII) accessibility;
(VIII) the character or quality of
an important historical, archeological,
architectural, or aesthetic resource
(including neighborhood character) of
the community of the eligible entity;
or
(IX) any other natural resource;
(ii) any increase in--
(I) solid waste production; or
(II) problems relating to erosion,
flooding, leaching, or drainage;
(iii) any requirement that a large quantity
of vegetation or fauna be removed or destroyed;
(iv) any conflict with the plans or goals
of the community of the eligible entity;
(v) any major change in the quantity or
type of energy used by the community of the
eligible entity;
(vi) any hazard presented to human health;
(vii) any substantial change in the use, or
intensity of use, of land in the jurisdiction
of the eligible entity, including agricultural,
open space, and recreational uses;
(viii) the probability that the activity or
proposed activity will result in an increase in
tourism in the jurisdiction of the eligible
entity;
(ix) any substantial, adverse aggregate
impact on environmental health resulting from--
(I) changes caused by the activity
or proposed activity to 2 or more
elements of the environment; or
(II) 2 or more related actions
carried out under the activity or
proposed activity; and
(x) any other significant change of
concern, as determined by the eligible entity.
(C) Factors for consideration.--In making an
assessment under subparagraph (A), an eligible entity
may take into consideration any reasonable, direct,
indirect, or cumulative effect relating to the
applicable activity or proposed activity, including the
effect of any action that is--
(i) included in the long-range plan
relating to the activity or proposed activity;
(ii) likely to be carried out in
coordination with the activity or proposed
activity;
(iii) dependent on the occurrence of the
activity or proposed activity; or
(iv) likely to have a disproportionate
impact on disadvantaged populations.
(f) Use of Funds.--
(1) In general.--An eligible entity shall use assistance
received under this section to prepare and submit to the
Secretary a health impact assessment in accordance with this
subsection.
(2) Purposes.--The purposes of a health impact assessment
are--
(A) to facilitate the involvement of State and
local health officials in community planning and land
use decisions to identify any potential health concern
relating to an activity or proposed activity;
(B) to provide for an investigation of any health-
related issue addressed in an environmental impact
statement or policy appraisal relating to an activity
or a proposed activity;
(C) to describe and compare alternatives (including
no-action alternatives) to an activity or a proposed
activity to provide clarification with respect to the
costs and benefits of the activity or proposed
activity; and
(D) to contribute to the findings of an
environmental impact statement with respect to the
terms and conditions of implementing an activity or a
proposed activity, as necessary.
(3) Requirements.--A health impact assessment prepared
under this subsection shall--
(A) describe the relevance of the applicable
activity or proposed activity (including the policy of
the activity) with respect to health issues;
(B) assess each health impact of the applicable
activity or proposed activity;
(C) provide recommendations of the eligible entity
with respect to--
(i) the mitigation of any adverse impact on
health of the applicable activity or proposed
activity; or
(ii) the encouragement of any positive
impact of the applicable activity or proposed
activity;
(D) provide for monitoring of the impacts on health
of the applicable activity or proposed activity, as the
eligible entity determines to be appropriate; and
(E) include a list of each comment received with
respect to the health impact assessment under
subsection (e).
(4) Methodology.--In preparing a health impact assessment
under this subsection, an eligible entity--
(A) shall follow guidelines developed by the
Director, in collaboration with the IWG, that--
(i) are consistent with subsection (c);
(ii) will be established not later than 1
year after the date of enactment of this Act;
and
(iii) will be made publicly available at
the annual conference described in section
3(e)(2); and
(B) may establish a balance, as the eligible entity
determines to be appropriate, between the use of--
(i) rigorous methods requiring special
skills or increased use of resources; and
(ii) expedient, cost-effective measures.
(g) Public Participation.--
(1) In general.--Before preparing and submitting to the
Secretary a final health impact assessment, an eligible entity
shall request and take into consideration public and agency
comments, in accordance with this subsection.
(2) Requirement.--Not later than 30 days after the date on
which a draft health impact assessment is completed, an
eligible entity shall submit the draft health impact assessment
to each Federal agency, and each State and local organization,
that--
(A) has jurisdiction with respect to the activity
or proposed activity to which the health impact
assessment applies;
(B) has special knowledge with respect to an
environmental or health impact of the activity or
proposed activity; or
(C) is authorized to develop or enforce any
environmental standard relating to the activity or
proposed activity.
(3) Comments requested.--
(A) Request by eligible entity.--An eligible entity
may request comments with respect to a health impact
assessment from--
(i) affected Indian tribes;
(ii) interested or affected individuals or
organizations; and
(iii) any other State or local agency, as
the eligible entity determines to be
appropriate.
(B) Request by others.--Any interested or affected
agency, organization, or individual may--
(i) request an opportunity to comment on a
health impact assessment; and
(ii) submit to the appropriate eligible
entity comments with respect to the health
impact assessment by not later than--
(I) for a Federal, State, or local
government agency or organization, the
date on which a final health impact
assessment is prepared; and
(II) for any other individual or
organization, the date described in
subclause (I) or another date, as the
eligible entity may determine.
(4) Response to comments.--A final health impact assessment
shall describe the response of the eligible entity to comments
received within a 90-day period under this subsection,
including--
(A) a description of any means by which the
eligible entity, as a result of such a comment--
(i) modified an alternative recommended
with respect to the applicable activity or
proposed activity;
(ii) developed and evaluated any
alternative not previously considered by the
eligible entity;
(iii) supplemented, improved, or modified
an analysis of the eligible entity; or
(iv) made any factual correction to the
health impact assessment; and
(B) for any comment with respect to which the
eligible entity took no action, an explanation of the
reasons why no action was taken and, if appropriate, a
description of the circumstances under which the
eligible entity would take such an action.
(h) Health Impact Assessment Database.--The Secretary, acting
through the Director and in collaboration with the Administrator, shall
establish and maintain a health impact assessment database, including--
(1) a catalog of health impact assessments received under
this section;
(2) an inventory of tools used by eligible entities to
prepare draft and final health impact assessments; and
(3) guidance for eligible entities with respect to the
selection of appropriate tools described in paragraph (2).
(i) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section such sums as are necessary.
SEC. 5. GRANT PROGRAM.
(a) Definitions.--In this section:
(1) Director.--The term ``Director'' means the Director of
the Centers for Disease Control and Prevention, acting in
collaboration with the Administrator and the Director of the
National Institute of Environmental Health Sciences.
(2) Eligible entity.--The term ``eligible entity'' means a
State or local community that--
(A) bears a disproportionate burden of exposure to
environmental health hazards;
(B) has established a coalition--
(i) with not less than 1 community-based
organization; and
(ii) with not less than 1--
(I) public health entity;
(II) health care provider
organization; or
(III) academic institution;
(C) ensures planned activities and funding streams
are coordinated to improve community health; and
(D) submits an application in accordance with
subsection (c).
(b) Establishment.--The Director shall establish a grant program
under which eligible entities shall receive grants to conduct
environmental health improvement activities.
(c) Application.--To receive a grant under this section, an
eligible entity shall submit an application to the Director at such
time, in such manner, and accompanied by such information as the
Director may require.
(d) Cooperative Agreements.--An eligible entity may use a grant
under this section--
(1) to promote environmental health; and
(2) to address environmental health disparities.
(e) Amount of Cooperative Agreement.--
(1) In general.--The Director shall award grants to
eligible entities at the 2 different funding levels described
in this subsection.
(2) Level 1 cooperative agreements.--
(A) In general.--An eligible entity awarded a grant
under this paragraph shall use the funds to identify
environmental health problems and solutions by--
(i) establishing a planning and
prioritizing council in accordance with
subparagraph (B); and
(ii) conducting an environmental health
assessment in accordance with subparagraph (C).
(B) Planning and prioritizing council.--
(i) In general.--A prioritizing and
planning council established under subparagraph
(A)(i) (referred to in this paragraph as a
``PPC'') shall assist the environmental health
assessment process and environmental health
promotion activities of the eligible entity.
(ii) Membership.--Membership of a PPC shall
consist of representatives from various
organizations within public health, planning,
development, and environmental services and
shall include stakeholders from vulnerable
groups such as children, the elderly, disabled,
and minority ethnic groups that are often not
actively involved in democratic or decision-
making processes.
(iii) Duties.--A PPC shall--
(I) identify key stakeholders and
engage and coordinate potential
partners in the planning process;
(II) establish a formal advisory
group to plan for the establishment of
services;
(III) conduct an in-depth review of
the nature and extent of the need for
an environmental health assessment,
including a local epidemiological
profile, an evaluation of the service
provider capacity of the community, and
a profile of any target populations;
and
(IV) define the components of care
and form essential programmatic
linkages with related providers in the
community.
(C) Environmental health assessment.--
(i) In general.--A PPC shall carry out an
environmental health assessment to identify
environmental health concerns.
(ii) Assessment process.--The PPC shall--
(I) define the goals of the
assessment;
(II) generate the environmental
health issue list;
(III) analyze issues with a systems
framework;
(IV) develop appropriate community
environmental health indicators;
(V) rank the environmental health
issues;
(VI) set priorities for action;
(VII) develop an action plan;
(VIII) implement the plan; and
(IX) evaluate progress and planning
for the future.
(D) Evaluation.--Each eligible entity that receives
a grant under this paragraph shall evaluate, report,
and disseminate program findings and outcomes.
(E) Technical assistance.--The Director may provide
such technical and other non-financial assistance to
eligible entities as the Director determines to be
necessary.
(3) Level 2 cooperative agreements.--
(A) Eligibility.--
(i) In general.--The Director shall award
grants under this paragraph to eligible
entities that have already--
(I) established broad-based
collaborative partnerships; and
(II) completed environmental
assessments.
(ii) No level 1 requirement.--To be
eligible to receive a grant under this
paragraph, an eligible entity is not required
to have successfully completed a Level 1
Cooperative Agreement (as described in
paragraph (2).
(B) Use of grant funds.--An eligible entity awarded
a grant under this paragraph shall use the funds to
further activities to carry out environmental health
improvement activities, including--
(i) addressing community environmental
health priorities in accordance with paragraph
(2)(C)(ii), including--
(I) air quality;
(II) water quality;
(III) solid waste;
(IV) land use;
(V) housing;
(VI) food safety;
(VII) crime;
(VIII) injuries; and
(IX) healthcare services;
(ii) building partnerships between
planning, public health, and other sectors, to
address how the built environment impacts food
availability and access and physical activity
to promote healthy behaviors and lifestyles and
reduce obesity and related co-morbidities;
(iii) establishing programs to address--
(I) how environmental and social
conditions of work and living choices
influence physical activity and dietary
intake; or
(II) how those conditions influence
the concerns and needs of people who
have impaired mobility and use
assistance devices, including
wheelchairs and lower limb prostheses;
and
(iv) convening intervention programs that
examine the role of the social environment in
connection with the physical and chemical
environment in--
(I) determining access to
nutritional food; and
(II) improving physical activity to
reduce morbidity and increase quality
of life.
(f) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section--
(1) $25,000,000 for fiscal year 2007; and
(2) such sums as are necessary for the period of fiscal
years 2008 through 2011.
SEC. 6. ADDITIONAL RESEARCH ON THE RELATIONSHIP BETWEEN THE BUILT
ENVIRONMENT AND THE HEALTH OF COMMUNITY RESIDENTS.
(a) Definition of Eligible Institution.--In this section, the term
``eligible institution'' means a public or private nonprofit
institution that submits to the Secretary and the Administrator an
application for a grant under the grant program authorized under
subsection (b)(2) at such time, in such manner, and containing such
agreements, assurances, and information as the Secretary and
Administrator may require.
(b) Research Grant Program.--
(1) Definition of health.--In this section, the term
``health'' includes--
(A) levels of physical activity;
(B) consumption of nutritional foods;
(C) rates of crime;
(D) air, water, and soil quality;
(E) risk of injury;
(F) accessibility to healthcare services; and
(G) other indicators as determined appropriate by
the Secretary.
(2) Grants.--The Secretary, in collaboration with the
Administrator, shall provide grants to eligible institutions to
conduct and coordinate research on the built environment and
its influence on individual and population-based health.
(3) Research.--The Secretary shall support research that--
(A) investigates and defines the causal links
between all aspects of the built environment and the
health of residents;
(B) examines--
(i) the extent of the impact of the built
environment (including the various
characteristics of the built environment) on
the health of residents;
(ii) the variance in the health of
residents by--
(I) location (such as inner cities,
inner suburbs, and outer suburbs); and
(II) population subgroup (such as
children, the elderly, the
disadvantaged); or
(iii) the importance of the built
environment to the total health of residents,
which is the primary variable of interest from
a public health perspective;
(C) is used to develop--
(i) measures to address health and the
connection of health to the built environment;
and
(ii) efforts to link the measures to travel
and health databases;
(D) distinguishes carefully between personal
attitudes and choices and external influences on
observed behavior to determine how much an observed
association between the built environment and the
health of residents, versus the lifestyle preferences
of the people that choose to live in the neighborhood,
reflects the physical characteristics of the
neighborhood; and
(E)(i) identifies or develops effective
intervention strategies to promote better health among
residents with a focus on behavioral interventions and
enhancements of the built environment that promote
increased use by residents; and
(ii) in developing the intervention strategies
under clause (i), ensures that the intervention
strategies will reach out to high-risk populations,
including low-income urban and rural communities.
(4) Priority.--In providing assistance under the grant
program authorized under paragraph (2), the Secretary and the
Administrator shall give priority to research that
incorporates--
(A) interdisciplinary approaches; or
(B) the expertise of the public health, physical
activity, urban planning, and transportation research
communities in the United States and abroad.
(c) Authorization of Appropriations.--There are authorized to be
appropriated such sums as are necessary to carry out this section.
<all>
Introduced in Senate
Sponsor introductory remarks on measure. (CR S2805)
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
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