; (F) infrastructure upgrades that protect access routes to the medical facility, such as long-term flood, wildfire, and other disaster mitigation for the roads, sidewalks, and public transit infrastructure that service the medical facility; (G) the long-term maintenance of decarbonization and zero-emissions infrastructure; and (H) any other type of plan or project the Secretary determines will increase the sustainability and resiliency of a medical facility, protect patient health and community access during extreme weather, and advance environmental justice. (4) Authorization of appropriations There is authorized to be appropriated to carry out this subsection $100,000,000,000 for fiscal year 2024, to remain available until expended. . (2) Technical amendment Section 1610(b) of the Public Health Service Act ( 42 U.S.C. 300r(b) ) is amended by striking paragraph (3). (b) Medical facility project applications (1) In general Section 1621(b)(1) of the Public Health Service Act ( 42 U.S.C. 300s–1(b)(1) ) is amended— (A) in subparagraph (J), by striking and at the end; (B) in subparagraph (K), by striking the period at the end and inserting a semicolon; and (C) by adding at the end the following: (L) reasonable assurance that the facility will have adequate staffing to fulfill the community service obligation; and (M) reasonable assurance that the facility— (i) has a collective bargaining agreement with 1 or more labor organizations representing employees at the facility