# 119-s-5134: Green New Deal for Health Act

119-s-5134, Green New Deal for Health Act, is a 119th Congress bill sponsored by Sen. Markey, Edward J. [D-MA] (D-MA); status introduced; PRIA reads it as touching household money (as of 2026-09-30).

- Canonical: https://policyrisk.com/legislation/119-s-5134
- As of: 2026-09-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-5134
- Congress: 119
- Title: Green New Deal for Health Act
- Status: introduced
- Introduced: 2026-07-27
- Sponsor: Sen. Markey, Edward J. [D-MA] (D-MA)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-30

## Summary

**This bill would build a federal framework to** **prepare and decarbonize the U.S. health system and protect climate‑vulnerable communities**. It would create new offices, a National Strategic Action Plan, new rules for hospital closures, large grants for green facilities, workforce programs, and climate‑health research.

## Cosponsors (4)

- Sen. Warren, Elizabeth [D-MA] (D-MA), 2026-07-27T00:00:00.000Z
- Sen. Sanders, Bernard [I-VT] (I-VT), 2026-07-27T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2026-07-27T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2026-07-27T00:00:00.000Z

## Provisions PRIA read

- Medicare pays for home resilience: benefit, high. If enacted, Medicare would cover "home resiliency services" found medically necessary for people judged medically at risk in disasters. Coverage would start for services furnished on or after January 1, 2027. Examples include heat pumps, solar batteries for electrically powered medical equipment, a…
- Hazard pay and safety grants: benefit, high. If enacted, the Secretary would be able to give grants to health facilities and home health agencies to pay for worker safety and hazard pay during emergencies. Hazard pay would be up to $13 per hour in addition to wages. No worker could receive more than $25,000 in hazardous pay in one year. Grant…
- Major grants to modernize medical facilities: benefit, high. If enacted, the bill would fund large grants to build and modernize medical facilities for climate resilience. It would authorize $100 billion for facility construction and upgrades in fiscal year 2027, to remain available until expended. It would also create planning grants (each up to $500,000) w…
- More community health funding and workers: benefit, high. If enacted, the bill would expand community health funding and workforce programs. It would authorize $130 billion for community health over FY2027–2031 and $2 billion per year for FY2027–2031, with at least half of future funds for environmental justice communities. It would also authorize $10 bil…
- National climate and health research: benefit, high. If enacted, the bill would create a National Climate and Health Research and Innovation Initiative run by HHS and coordinated across agencies. The initiative would get authorization of $5 billion per year for fiscal years 2027 through 2036, if Congress appropriates it. The program would support res…
- Community mental wellness grants: benefit, medium. If enacted, the bill would create competitive grants for local mental wellness and resilience programs. Planning grants would be up to $100,000. Program grants could be up to $300,000 per year for up to four years. Funded programs must use public-health methods and be culturally and developmentally…
- NOAA heat grants and study: benefit, medium. If enacted and funded, NOAA would set up a community heat resilience program within one year. The program could give grants, contracts, or cooperative agreements for heat mapping, outreach, and preparedness. It would prioritize historically disadvantaged and high-heat-risk communities. The bill als…
- New CMS sustainability office: benefit, medium. If enacted, the bill would create an Office of Sustainability and Environmental Impact inside CMS. The office would make rules, guidance, and a "Climate-Friendly" designation for health systems. It would report to Congress every two years. The bill authorizes $2 million per year for each fiscal yea…
- Rules to delay hospital closures: benefit, medium. If enacted, applicable hospitals would generally have to notify the Secretary at least 90 days before stopping services or closing. Hospitals could not stop essential services during that notice unless safety requires it. If the Secretary finds access would be harmed, hospitals must file a mitigati…
- Drug and device climate disclosures: mixed, medium. If enacted, the bill would require a task force and rules to make drug and device makers calculate lifecycle emissions and climate risk. The Secretary would issue mandatory disclosure and labeling rules within one year of enactment. The work aims to help clinicians find lower-emission options while…
- Grant applicants must respect unions: mixed, low. If enacted, certain Public Health Service grant applicants would need either a collective bargaining agreement covering their employees or a written policy not to interfere with workers' rights under the National Labor Relations Act. This would be a condition of applying for those grants and would…

## Related bills

- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-2823: FAMILY Act
- 119-s-2763: Keep Billionaires Out of Social Security Act
- 119-s-3869: Healthy Families Act
- 119-s-51: Washington, D.C. Admission Act

## Sources
- [119-s-5134 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/5134)

## Related
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-2823: FAMILY Act](https://policyrisk.com/legislation/119-s-2823)
- [119-s-2763: Keep Billionaires Out of Social Security Act](https://policyrisk.com/legislation/119-s-2763)
- [119-s-3869: Healthy Families Act](https://policyrisk.com/legislation/119-s-3869)
- [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-5134 (as of 2026-09-30).
