Strategies

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Replace internal combustion engine vehicles with all-electric vehicles through financial incentives, regulations, and multi-component initiatives

Organize workers to bargain collectively for improved wages, benefits, and working conditions

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

Implement anti-idling policies and awareness campaigns to reduce engine idling for passenger vehicles, school buses, and/or equipment and truck fleets