Sponsor
Pramila Jayapal
Representative · D-WA
The bill directs substantial federal resources to make hospitals and clinics more climate‑resilient—especially in disadvantaged communities—and to create local jobs and healthier indoor environments, but it expands federal spending and imposes new labor, reporting, eligibility, and administrative requirements that may burden smaller providers and create uncertainty about awards.
Hospitals, clinics, and other medical facilities across the country receive substantial federal funding and planning support (authorizations including a large program plus a FY2026 planning appropriation) to upgrade infrastructure for climate resilience, improving continuity of care during extreme weather and public-health crises.
Hospitals and health centers can install energy upgrades (onsite generation, energy storage, heat pumps) and HVAC/air-quality improvements that reduce outage risk, lower emissions, and improve indoor air during heat waves, wildfires, smog events, or infectious outbreaks.
At least half of funds are prioritized for environmental‑justice and overburdened communities, directing resources to low‑income, rural, and urban neighborhoods that face higher climate and health risks.
The bill authorizes large new federal spending (including a very large program authorization and a separate planning appropriation), increasing federal outlays and raising concerns about budgetary tradeoffs for taxpayers and other priorities.
New reporting, wage (e.g., Davis‑Bacon), labor, and application data requirements increase administrative and compliance costs and are likely to disadvantage smaller hospitals and clinics with limited grant‑writing capacity.
Labor‑related eligibility and application requirements (collective‑bargaining assurances, non‑interference rules) could exclude or disadvantage facilities without existing collective bargaining agreements or certain workforce policies.
Based on analysis of 3 sections of legislative text.
Adds climate resilience and sustainability to hospital construction grants, creates an HHS planning grant program, and authorizes $100B for FY2026.
Representative · D-WA
Official title: To provide for green and resilient health care infrastructure, and for other purposes.
Introduced September 1, 2026 by Pramila Jayapal · Last progress September 1, 2026
Provides federal grants to plan, build, and modernize medical facilities to be more sustainable, decarbonized, and resilient to climate change and public-health crises, and prioritizes projects with built-in resilience measures. Authorizes $100 billion for construction/modernization grants for fiscal year 2026 and creates a new HHS planning and evaluation grant program to fund development of sustainability and resiliency plans for medical facilities and surrounding infrastructure. Adds application requirements and worker-protection assurances for grant recipients, including Davis-Bacon wage assurances and either a collective bargaining agreement or a written policy not to interfere with employees’ National Labor Relations Act Section 7 rights. The Secretary of HHS is given authority to set application forms, selection criteria, and to prioritize projects that include specified resiliency and decarbonization features.