Fifteen US cities have adopted mandatory extreme heat preparedness ordinances requiring employers, schools, and event organizers to implement specific protective measures when temperatures or heat index values exceed defined danger thresholds.

Cities Leading the Way

The ordinances vary by city but share common elements addressing outdoor worker protection, public cooling access, and vulnerable population outreach.

Public Health Context

Heat-related deaths in the US exceeded 2,300 in 2025, a 40% increase over the five-year average. Public health officials describe extreme heat as the deadliest weather hazard, disproportionately affecting outdoor workers, elderly residents, and communities without adequate cooling infrastructure.