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Public Comment: Proposed Tier 4 Emissions Standards Delay

On May 14, 2026, the EPA proposed delaying Tier 4 by two model years, citing industry feasibility concerns. This is Part 1 of a two-part review; Part 2 may result in permanent changes to or elimination of the standards entirely. The proposed delay means millions more vehicles will be sold at higher pollution levels that we already know cause preventable illness and death.

Every model year of delay is not a two-year gap in health protection. It is a two-decade tail of preventable harm that will be felt in our communities, our hospitals, and our children’s lungs long after these vehicles roll off the lot.

Public comments on the proposed delay are open until July 6, 2026. Use our toolkit below to help you craft your comment and encourage others to do the same. 

Public Comment: FEMA Review Council Report

On May 7, 2026, the President’s FEMA Review Council released its final report, outlining recommendations to overhaul the nation’s approach to disaster preparedness, response, recovery, and mitigation. At its core, the report says that disaster response should be “locally executed, state or
tribally managed, and federally supported.” This would significantly change the federal role, placing more responsibility and financial burden on states and localities. These recommendations do not simply redistribute financial risk — they redistribute health risk, and
they do so along the fault lines of existing inequity.

Public comments on the report are open until June 8, 2026. We encourage you to submit a personalized comment that highlights how the recommendations outlined in this report would impact your community.

Sign-On Letter: Integrating Climate and Planetary Health Into ACGME Program Requirements

In light of the rapidly evolving health impacts of climate change and environmental degradation, we are respectfully urging the ACGME to explicitly incorporate climate and planetary health into the Common Program Requirements and into specialty-specific Program Requirements, thereby ensuring that all residents are prepared to care for patients in a changing environmental context. Read the full letter here. Please fill out the form below to sign on by June 30.

Sign the Commitment for Fossil-Free Health Communications

The Break the Fossil Influence campaign is calling on health organizations to lead by example: Stop working with PR and ad agencies that also work for the fossil fuel industry.

This is about aligning our communications with our core mission: to protect life and promote health.

Signing the Fossil-Free Health Communications commitment means your organisation is:

• Expressing a clear intent to avoid future partnerships with agencies that work with fossil fuel companies.
• Committing to ask new vendors about their fossil fuel ties in future procurement and RFP processes.
• Taking a step – however gradual – toward integrity and climate accountability in communications.

Health Sector CARES (Climate Action, Resilience, and Equity Solutions) Pledge

The Health Sector CARES Pledge is a voluntary commitment for health sector organizations to plan for climate resilience and reduce their environmental impact. Health Care Without Harm (HCWH) — an organization that has been helping health systems reduce waste, improve sustainability, and build resilient facilities and communities since 1996 — leads the pledge. By signing, organizations gain access to resources and tools from HCWH as well as peer-to-peer learning opportunities with other organizations that have committed to creating a more sustainable, resilient, and equitable health sector. Signatories are working to advance the health of their patients, staff, and neighbors, while also demonstrating leadership and reinforcing health care’s vital role as a pillar of community well-being.