Sponsor
Edward John Markey
Senator · D-MA
Senator · D-MA
Official title: Provide for green and resilient health care infrastructure, and for other purposes.
Introduced August 6, 2026 by Edward John Markey · Last progress August 6, 2026
The bill directs substantial federal funds to harden and decarbonize health facilities and prioritize environmental-justice communities—improving patient safety, jobs, and resilience—while increasing federal spending and imposing labor, administrative, and eligibility requirements that may raise costs and favor larger systems over smaller providers.
Hospitals, clinics, and their patients (especially those with chronic conditions) will be more likely to maintain access to care during extreme weather, outages, and public-health crises because facilities will be modernized and hardened for climate resilience.
Communities receiving grants will see a large federal investment that creates construction and related jobs, supporting local economies and middle-class households.
Hospitals and clinics (including small systems) can obtain federal planning grants to assess climate risks and prepare projects—speeding planning and increasing the likelihood of funded resilience projects.
All taxpayers: the legislation authorizes large federal spending (including a $100B authorization and additional appropriations), increasing fiscal commitments that could raise deficits or require offsets.
Hospitals, clinics, and applicants face new administrative, reporting, and staffing-assurance requirements that raise compliance burdens and could deter or delay applications—especially for smaller providers.
Labor-related conditions (collective-bargaining or noninterference rules and Davis-Bacon prevailing wages) may increase project labor costs and create tensions with existing employer labor practices, reducing the number of projects funded per dollar.
Based on analysis of 3 sections of legislative text.
Creates a $100B HHS grant program and a planning-grant program to modernize medical facilities for climate resilience, with labor, staffing, and community-protection requirements.
Authorizes $100 billion for HHS to fund construction and modernization grants that make medical facilities more climate-resilient and reduce emissions, and creates a new HHS planning-and-evaluation grant program to fund sustainability and resiliency plans. Grants must meet labor and staffing assurances (prevailing wages, collective bargaining or noninterference policy, adequate staffing), prioritize specified mitigation and resilience measures, and include community and environmental-justice considerations.