S. 4357

119 S4357 IS: Hazard Pay for Health Care Heroes Act
 U.S. Senate
 2026-04-21
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 II  119th CONGRESS  2d Session  S. 4357  IN THE SENATE OF THE UNITED STATES   April 21, 2026   Mr. Markey  introduced the following bill; which was read twice and referred to the  Committee on Health, Education, Labor, and Pensions    A BILL
To amend the Public Health Service Act to provide for emergency grants to safeguard essential health care workers, and for other purposes.
1.
Short title
This Act may be cited as the   Hazard Pay for Health Care Heroes Act  .
2.
Safeguarding essential health care workers
The Public Health Service Act is amended by inserting after section 319D–1 ( 42 U.S.C. 247d–4b ) the following:
319D–2.
Emergency grants to safeguard essential health care workers
(a)
Definitions
In this section:
(1)
Emergency or disaster
The term  emergency or disaster  means—
(A)
a major disaster declared by the President under section 401 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act;
(B)
an emergency declared by the President under section 501 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act;
(C)
a national emergency declared by the President under the National Emergencies Act;
(D)
a public health emergency declared under section 319; and
(E)
a State, local, territorial, or Tribal emergency or disaster, as declared by the applicable State, local, territorial, or Tribal government.
(2)
Eligible health care worker
The term  eligible health care worker  means an essential health care worker whose work cannot be conducted remotely.
(3)
Essential health care worker
The term  essential health care worker  means—
(A)
a health care provider, including a direct care worker (as defined in section 799B);
(B)
a medical technologist;
(C)
a public health worker;
(D)
an orderly (as defined in the 2010 Standard Occupational Classifications of the Department of Labor under the code for Orderlies (31–1015));
(E)
an environmental service, janitorial, or custodial worker in a health care setting; and
(F)
any other professional role that the Secretary determines is essential to the care of patients or the maintenance of public health.
(b)
Grants
(1)
In general
The Secretary may make grants to public or private nonprofit health care facilities and home health agencies for use in accordance with paragraph (2).
(2)
Use of funds
(A)
Hazardous duty compensation
(i)
In general
The recipient of a grant under paragraph (1) shall use the grant funds to provide hazardous duty compensation to eligible health care workers for work performed during the period of an emergency or disaster in cases in which the Secretary determines that—
(I)
the performance of the work by the eligible health care worker for the applicable health care facility or home health agency is hazardous; or
(II)
the commute of the eligible health care worker is hazardous.
(ii)
Requirement
(I)
In general
Subject to subclause (II), the amount of hazardous duty compensation under clause (i) shall be not more than $13 per hour, which shall be in addition to the wages or remuneration the eligible health care worker otherwise receives for the work.
(II)
Maximum amount
The total amount of hazardous duty compensation received by any 1 eligible health care worker under this subparagraph may not exceed $25,000 per year.
(B)
Additional uses
The recipient of a grant under paragraph (1) may use the grant funds to provide safety measures to safeguard and protect eligible health care workers from hazards due to the applicable emergency or disaster, including alternative transit options, personal protective equipment, and other safety measures.
(c)
Authorization of appropriations
There are authorized to be appropriated to carry out this section such sums as may be necessary.
 .