; and (ii) an amount equal to 60 percent of the median income for that State. (4) Pollution hotspot The term pollution hotspot means a location where pollution from specific sources may expose an individual or community to an elevated risk of adverse health and safety effects, as determined by the Administrator of the Environmental Protection Agency. (5) Secretary The term Secretary means the Secretary of Health and Human Services. (6) State The term State means each of the several States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, the United States Virgin Islands, American Samoa, the Commonwealth of the Northern Mariana Islands, and an Indian tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )). (7) Water burden The term water burden means the expenditures of a household for drinking water, wastewater, and stormwater services, divided by the income of the household. (8) Water crisis The term water crisis means weather-related and supply shortage emergencies, stormwater flooding, and other household water-related emergencies, relating to drinking water, wastewater, or stormwater services. (b) Establishment (1) In general The Secretary is authorized to make grants, in accordance with the provisions of this section, to States to assist low-income households (particularly those with the lowest incomes relative to State poverty levels and median incomes, that pay a high proportion of household income for home drinking water, wastewater, and stormwater services), including environmentally at-risk households that are also low-income households, primarily in meeting their immediate home drinking water, wastewater, and stormwater service needs. The Secretary shall make the grants in the amounts of the allotments made under paragraph (2). (2) State allotments Not later than 1 year after the date of enactment of this Act, the Secretary shall issue a rule to establish a formula under which the Secretary shall make allotments to States, from