; (D) with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (E) with a rating of very high or relatively high risk according to the National Risk Index for Natural Hazards of the Federal Emergency Management Agency; or (F) with other climate-sensitive hazards with associations to adverse maternal or infant health outcomes, as determined by the Secretary. (4) Limitation A recipient of grant funds under the Program may not use such grant funds to serve a county or locality that is served by any other recipient of a grant under the Program. (e) Use of funds A covered entity awarded grant funds under the Program may only use such grant funds for the following: (1) Initiatives to identify risks associated with climate change for vulnerable individuals and to provide services and support to such individuals that address such risks, which may include— (A) training for health care providers, perinatal health workers, and other employees in hospitals, birth centers, midwifery practices, and other health care practices that provide prenatal or labor and delivery services to vulnerable individuals on the identification of, and patient counseling relating to, risks associated with climate change for vulnerable individuals; (B) hiring, training, or providing resources to perinatal health workers who can help identify risks associated with climate change for vulnerable individuals, provide patient counseling about such risks, and carry out the distribution of relevant services and support; (C) enhancing the monitoring of risks associated with climate change for vulnerable individuals, including by— (i) collecting data on such risks in specific census tracts, neighborhoods, or other geographic areas