; and (E) land-use plans, projects, and policies that impact the physical or social characteristics of a community, including access to services and amenities. (4) Personal determinants of health The term personal determinants of health means an individual’s behavior, biology, and genetics. (5) Social determinants of health The term social determinants of health means a subset of determinants of the health of individuals and environments (such as communities, neighborhoods, and societies) that describe an individual’s or group of people’s social identity, describe the social and economic resources to which such individual or group has access, and describe the conditions in which an individual or group of people works, lives, and plays. (6) Economic determinants of health The term economic determinants of health refers to income and social status. Higher income and socioeconomic status (SES) are linked to decreased rates of morbidity and mortality. The higher your SES, the healthier you are the longer you’ll live. Low SES leads to an increased risk of illness and death. 1002. Findings Congress finds as follows: (1) Social determinants of health are the largest predictors of health outcomes. (2) Social determinants of health, including health-related behaviors, social and economic factors, and physical environment factors account for 80 percent of health outcomes, whereas clinical care accounts for 20 percent of improved health outcomes. Yet, in 2017, public health spending only represented 2.5 percent of all health spending in the United States. (3) There are more opportunities to improve health for everyone when we understand that health starts, first, not in a medical setting, but in our families, in our schools and workplaces, in our neighborhoods, in the air we breathe, and in the water we drink. (4) (A) Healthy People 2020 identifies health and health care quality as a function of not only access to health care, but also the social determinants of health, categorized into the following: neighborhoods and the