Integration of environmental health within primary care

(a) Community health representative program Section 107 of the Indian Health Care Improvement Act (25 U.S.C. 1616) is amended by adding at the end the following: (c) Environmental health training requirements (1) In general The Secretary shall ensure that all health professional training programs administered by the Service include mandatory training on— (A) environmental health assessment protocols specific to Tribal communities; (B) recognition of environmental health issues affecting Native children; (C) home environmental assessment procedures and documentation; (D) cultural competency in discussing environmental health concerns with Tribal families; and (E) integration of traditional ecological knowledge in environmental health assessments. (2) Consultation The Secretary shall develop the training components described in paragraph (1) in consultation with— (A) the Division of Environmental Health Services of the Service; (B) Tribal environmental health programs; (C) Tribal Epidemiology Centers; (D) Tribal health boards; and (E) pediatric environmental health specialty units.. (b) Comprehensive environmental health system Title II of the Indian Health Care Improvement Act (25 U.S.C. 1621 et seq.) is amended by adding at the end the following: 227. Comprehensive health system (a) In general Not later than 2 years after the date of enactment of this section, the Service shall establish a comprehensive environmental health system (referred to in this section as the system) that includes— (1) electronic health record capabilities for— (A) standardized environmental exposure history documentation; (B) automated clinical decision support for environmental health concerns; (C) bi-directional data sharing between clinical and environmental health services; and (D) geographic tracking of environmental health conditions; and (2) standardized referral protocols that— (A) connect clinical providers with environmental health services; (B) establish response time requirements; (C) require documented follow-up; and (D) include case management when needed. (b) Memoranda of agreement In implementing the system, the Secretary shall offer to enter into memoranda of agreement with Service units, Tribal environmental programs, and relevant Federal and State agencies. (c) Annual report Annually, the Secretary shall submit to Congress a report on system implementation, utilization, and outcomes. (d) Authorization of appropriations There is authorized to be appropriated to carry out this section $25,000,000 for each of fiscal years 2027 through 2032..