PolicyBrief
S. 4357
119th CongressApr 21st 2026
Hazard Pay for Health Care Heroes Act
IN COMMITTEE

This act establishes a grant program to provide eligible essential health care workers with up to \$13 per hour in hazardous duty compensation during declared emergencies or disasters.

Edward "Ed" Markey
D

Edward "Ed" Markey

Senator

MA

LEGISLATION

New Bill Proposes Up to $13/Hour Hazard Pay for Healthcare Workers During Emergencies, Caps at $25,000 Annually

Alright, let's talk about the 'Hazard Pay for Health Care Heroes Act.' This bill is looking to set up a new grant program to make sure our essential healthcare workers get a little extra support when things hit the fan, like during a major disaster or a public health emergency. Basically, it's about getting some extra cash and better safety gear to the folks on the front lines when their jobs get risky.

The 'What's In It For Them' Breakdown

So, what's actually happening here? The bill says the Secretary (we're talking about the Secretary of Health and Human Services) can hand out grants to public or private nonprofit healthcare facilities and home health agencies. The big deal is that these places must use the money to give hazardous duty compensation to eligible healthcare workers. We're talking up to $13 an hour on top of their regular wages, maxing out at $25,000 per worker per year. This kicks in when the Secretary decides their job duties or even their commute becomes hazardous during an emergency. Think about the last big storm or health crisis; these are the folks still showing up.

But it's not just about the money. The bill also lets these grant recipients use funds for safety measures. This could mean alternative transit options to get to work safely, better personal protective equipment (PPE), or other ways to shield workers from whatever the emergency throws at them. So, if you're a nurse, an orderly, or even a janitorial staff member keeping a hospital clean during a crisis, this bill is designed to put a little more in your pocket and keep you safer.

Who's an 'Essential Health Care Worker' Anyway?

The bill defines 'essential health care worker' pretty broadly, which is good news for a lot of people. It includes direct care workers, medical technologists, public health workers, and even orderlies (they specifically call out 'Department of Labor's 2010 Standard Occupational Classification code 31-1015' for orderlies, for those keeping score at home). Environmental service and janitorial workers in healthcare settings are also explicitly included, which is huge because they're often overlooked but absolutely critical. Plus, the Secretary can add any other role deemed essential to patient care or public health. This means a wide range of folks, from the doctor making rounds to the person cleaning the emergency room, could potentially benefit.

The Real-World Impact: More Than Just a Paycheck

Let's put this into perspective. Imagine a major public health crisis, like a widespread outbreak. For a home health aide who usually takes public transport, this bill could mean their agency gets funds for a safer ride to their clients, reducing their exposure. For an environmental services worker in a hospital, it’s not just the extra pay for cleaning high-risk areas, but also potentially better masks or gloves provided through grant money. This isn't just about a bonus; it's about recognizing the increased risk and cost of showing up when everyone else is told to stay home. It acknowledges that these roles are non-negotiable and that the people doing them deserve support.

While the bill authorizes 'such sums as may be necessary,' which is a bit open-ended on the funding side, the intent is clear: create a dedicated stream of resources to protect and compensate these vital workers. It's a proactive step to make sure that when the next emergency hits, we've got a system in place to support the people who keep our healthcare system from collapsing.