This Act establishes the Office of Climate Change and Health Equity within HHS to develop a national strategic action plan, supported by an advisory board and expert reports, to protect public health from climate change impacts.
Doris Matsui
Representative
CA-7
The Climate Change Health Protection and Promotion Act of 2025 establishes a new Office of Climate Change and Health Equity within HHS to coordinate federal efforts against climate-related health threats. This office is tasked with developing a comprehensive national strategic action plan to prepare the U.S. health sector for climate impacts, with a special focus on vulnerable communities. The Act also creates a science advisory board and mandates regular expert reports to ensure the national strategy is based on the best available science and continuously updated.
If you’ve ever had to deal with a canceled doctor’s appointment because of a heat wave, or worried about your kid’s asthma during wildfire season, then the Climate Change Health Protection and Promotion Act of 2025 is aimed squarely at your reality. This bill is essentially the federal government saying, “Okay, the climate crisis is a health crisis, and we need a dedicated plan.”
It sets up a brand new Office of Climate Change and Health Equity inside the Department of Health and Human Services (HHS). This isn’t just a fancy name; it’s a central hub whose entire job is to figure out how climate change is messing with our health and what the healthcare system needs to do about it. The Office gets a solid budget, authorizing $10 million annually from FY 2026 through FY 2031 to run its operations. Within one year of the bill passing, this Office must produce a National Strategic Action Plan—the playbook for how the entire federal health apparatus will tackle this issue.
The Office’s first major task is creating that National Strategic Action Plan. This isn’t a general plan; it’s highly focused on the people who need help most. The bill specifically defines and prioritizes “environmental justice communities”—areas with high numbers of low-income, minority, or Tribal populations that are already dealing with worse health problems. Think of a city neighborhood next to a major refinery that now also faces increased flooding, or a rural community with limited access to cooling centers during extreme heat.
The plan must outline strategies to fix the health disparities made worse by climate change, covering everything from mental health impacts to pulmonary issues (like those caused by wildfire smoke) and disruptions to routine medical care. For the average person, this means that federal resources and preparedness efforts should be directed first toward the places where a heatwave or a bad storm is most likely to cause serious illness or death.
Here’s a provision that’s interesting for everyone working in or relying on the medical system: the new Office is tasked with leading efforts to reduce the healthcare sector’s own environmental footprint. Hospitals, clinics, and pharmaceutical companies use a lot of energy and generate significant waste. This bill requires the Office to track and find ways to cut the greenhouse gas emissions coming from the healthcare industry itself.
While this is a long-term benefit for the climate, it means the healthcare industry—from the biggest hospital network down to local clinics—will likely face new administrative burdens or costs as they figure out how to meet these new environmental goals. For patients, the hope is that this effort makes the system more resilient and sustainable, ensuring care remains available even during climate-related events.
To keep the plan grounded in science, the bill sets up a permanent Science Advisory Board (10 to 20 experts) and mandates regular, in-depth reports from the National Academies of Sciences, Engineering, and Medicine. This ensures that the strategy is constantly being reviewed and updated based on the latest data, not just political winds.
Perhaps the biggest administrative lift comes from Section 4, which requires the Secretary of HHS to get every relevant federal agency (think EPA, Defense, VA, Labor) to assess how their existing laws and policies impact climate change health protection. This is a massive, complex coordination effort. While it’s smart—making sure the VA’s hospitals and the Department of Labor’s worker safety rules are all aligned with the national health plan—it’s also a broad mandate that could lead to significant bureaucratic pushback or delays as agencies try to figure out exactly what they need to assess and change. The bill gives the Secretary wide authority to coordinate this effort, which is good for getting things done but means a lot of power is concentrated in this new HHS Office.
In short, this bill is less about a single new program and more about building the necessary infrastructure to treat climate change as a core public health threat. It prioritizes the most vulnerable, mandates science-based planning, and forces federal agencies to get their acts together—though the initial funding for the Action Plan and Advisory Board is only locked in for the first year, meaning Congress will need to follow through with future appropriations to keep the lights on.