; (2) evaluate the measurable impacts of activities undertaken at the directive of the national strategic action plan; and (3) recommend changes to the national strategic action plan and climate and health program. (b) Submission The agreement under subsection (a) shall require a report to be submitted to Congress and the Secretary and made publicly available not later than 1 year after the first publication of the national strategic action plan, and every 4 years thereafter. 105. Authorization of appropriations (a) Office of climate change and health equity There is authorized to be appropriated to the Secretary to carry out section 102(a) $10,000,000 for each of fiscal years 2024 through 2030. (b) National strategic action plan There is authorized to be appropriated to the Secretary to carry out section 102(b) $2,000,000 for fiscal year 2024, to remain available until expended. (c) Advisory board There is authorized to be appropriated to the Secretary to carry out section 103(c) $500,000 for fiscal year 2024, to remain available until expended. II Protecting essential health care access 201. Maintenance of health care access relating to hospital discontinuation of services or closure Section 1866 of the Social Security Act ( 42 U.S.C. 1395cc ) is amended— (1) in subsection (a)(1)— (A) in subparagraph (X), by striking and at the end; (B) in subparagraph (Y)(ii)(V), by striking the period and inserting , and ; and (C) by inserting after subparagraph (Y) the following new subparagraph: (Z) beginning 60 days after the date of the enactment of this subparagraph, in the case of a hospital, to comply with the requirements of subsection (l) (relating to discontinuation of services or closure).