A new report from The Commonwealth Fund, Northeastern University, and Yale University reveals stark disparities in how U.S. states are prepared to address climate-related health risks and promote clean energy. The findings support what we at ClimaTwin stress daily: climate change is not just an environmental issue, but also a public health and infrastructure crisis.
The report highlights that states like Vermont, New York, Washington, New Jersey, and Maine are leading by implementing stronger clean energy policies and having lower exposure to climate-related health risks. Conversely, states such as West Virginia, Kentucky, Louisiana, Florida, and Mississippi lag, facing high levels of heat, flooding, and air pollution without sufficient policies to mitigate these dangers. The impacts are significant. In Florida, nearly 15 percent of hospital beds are located in high-risk flood zones, placing patients and healthcare systems directly in the path of extreme weather. West Virginia, Wyoming, and North Dakota rank highest in per-capita greenhouse gas emissions from their healthcare systems. Meanwhile, poor air quality overall causes between 100,000 and 200,000 early deaths each year, mainly affecting vulnerable communities.
For providers of financial services, utilities, health systems, and infrastructure, the implications are clear. Climate risk is market risk, operational risk, and health risk. Without significant adaptation and proactive planning, the economic and social costs will rise quickly — from increasing insurance losses and disrupted care delivery to declines in productivity and diminished community resilience.
At ClimaTwin, we provide the actionable insights, data, and analytics necessary to navigate this environment. Our platform combines climate simulation and financial modeling to provide leaders with asset-level clarity on how future weather and climate extremes will impact infrastructure and healthcare systems, and where targeted resilience investments will yield the most significant impact. The message from this new report is clear: adaptation isn’t optional. States and industries that act swiftly now will not only save lives but also strengthen markets and open new opportunities in a climate-driven economy.
(Source: Hassanein, N. (2025, September 26). New report ranks states on climate-related health risks, clean energy policies. Stateline. https://stateline.org/2025/09/26/new-report-ranks-states-on-climate-related-health-risks-clean-energy-policies)
Ready to get started? To learn how ClimaTwin can help you assess the physical and financial impacts of future weather and climate extremes on your infrastructure assets, capital programs, and investment portfolio, please visit www.climatwin.com today.
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