Policy Landscape
Policy responses vary and often reflect a tension between furthering state-level economic development interests and balancing local community health and environmental concerns. States are primarily addressing energy reporting, ratepayer protection and environmental assessment. Local governments have tended to act more directly on land use, zoning and permitting, driven by community opposition and the immediacy of local resource impacts.
Select local actions include:
- Loudoun County, Virginia, ended by-right zoning for data centers, requiring all new applications to undergo public hearings (2025).
- Kansas City, Missouri, classified data centers as industrial, requiring council approval and mandatory impact studies on water and electricity rates (2026).
- Marana, Arizona, prohibited potable water use for cooling and required water source disclosure (2024).
Path Forward for Public Health
Public health practitioners are well-positioned to help navigate the tension between economic development and community health. The three core functions of public health, policy development, assessment and assurance, provide a concrete structure for that work:
- Policy development: Advocate for health impact assessments in permitting, transparency requirements and community notification standards; contribute public health expertise to state and local rulemaking.
- Assessment: Track and analyze cumulative environmental exposures, air quality near diesel generators, water availability in stressed regions and electricity cost burdens on low-income households; push for systematic, mandatory data collection from operators.
- Assurance: Monitor health outcomes in affected communities over time, hold operators and regulators accountable to environmental standards and ensure vulnerable populations have meaningful access to decision-making processes.
The most consequential recommendation is also the most foundational, communities need the information, access and standing to participate in decisions about AI infrastructure that will affect their health for decades to come. Public health can serve as a valuable partner in shaping the ethical rollout of AI and emerging technologies in our increasingly digital society.