Federal and State Policy: The Missing Piece in the Indoor Air Quality Puzzle - OT40

This week, we tackle a question that cuts through decades of technical progress and scientific consensus: What if the reason we still don't have clean indoor air isn't because we lack the technology—but because we lack the policy to actually implement it? The paper is a policy commentary titled Federal and State Policy Opportunities to Improve Indoor Air Quality, published in the Journal of Health Security. It's authored by a powerhouse group of experts, including Georgia Lagoudas and colleagues from Brown University, Harvard, and several other leading institutions. Many of them have been previous guests on this podcast. This isn't a theoretical exercise. It's a roadmap—a practical, actionable menu of policy interventions that could finally bring indoor air quality into the same regulatory and public health framework that we've successfully built for drinking water, fire safety, and smoking bans. Here's the glaring truth: we spend about 90% of our time indoors, yet we have no unified national initiative for clean indoor air. We have the Clean Air Act. We have the EPA regulating outdoor air. But outdoor regulations completely fail to account for the fact that outdoor pollutants make their way inside—where we spend all our time—and they ignore the fact that indoor spaces have their own unique pollutant sources. Concentrations of certain pollutants can be two to five times higher indoors than outdoors. And outdoor regulations do absolutely nothing to address one of the biggest indoor threats: the spread of respiratory pathogens like COVID-19 and influenza. Key Topics Discussed: The Current Mess: The federal government doesn't really regulate indoor air outside of occupational settings, leaving jurisdiction to state and local governments. Building codes are adopted and enforced locally, creating a massive patchwork of different standards. Some states like California, Connecticut, and Minnesota have taken steps, especially for schools, but there's no comprehensive national roadmap. Develop Health-Based Indoor Air Quality Targets: Right now, building owners and facility managers don't have a simple unified goal. We need clear thresholds for easy-to-measure indicators like carbon dioxide and PM2.5. The EPA or a coalition of NGOs should publish voluntary health-based targets, providing a clear benchmark that states and local entities can adopt. If you don't know what the target is, you can't hit it. Support States and Local Communities to Adopt Standards: Develop a national model indoor air quality code—similar to national model energy codes. Provide tax incentives to commercial buildings that make indoor air quality improvements, similar to deductions for energy efficient buildings. Create a state playbook filled with template language for regulations and building codes to make it easy for local governments to take action. Implement Sector-Specific Standards: Schools need indoor air quality monitors, regular HVAC inspections, and better filtration. Nursing homes should have indoor air quality standards as a strict condition of participation, just like hospitals. Federal buildings housing around a million federal employees need robust ventilation verification programs. OSHA needs to update its permissible exposure limits—many were developed in the 1970s, nearly half a century ago. The Two Biggest Priorities: Developing health-based indoor air quality targets and getting states to adopt indoor air quality building standards. If we can agree on what good air looks like and put it into the building code, the market will innovate to meet those demands. Federal and State Policy Opportunities to Improve Indoor Air Quality 10.1177/23265094251410880 (https://doi.org/10.1177/23265094251410880) The One Take Podcast in Partnership with SafeTraces (https://www.safetraces.com/) and Inbiot (https://www.inbiot.es/?utm_campaign=simon&utm_source=airqualitymatters&utm_medium=podcast) Do check them out in the links and on the Air Quality Matters Website (https://www.airqualitymatters.net/podcast) Chapters 00:00:00 Introduction: The Missing Framework for Clean Indoor Air 00:01:12 The Glaring Gap: Why Indoor Air Quality Has Been Ignored 00:01:45 Why Outdoor Regulations Fail Indoors 00:02:22 The Astronomical Cost of Inaction 00:03:01 The Current Mess: A Patchwork of Standards 00:03:55 Recommendation One: Health-Based Indoor Air Quality Targets 00:04:43 Recommendation Two: Supporting States with Standards and Financing 00:05:38 Recommendation Three: Sector-Specific Standards 00:07:13 Recommendation Four: Research and the Wild West of Air Purifiers 00:08:30 The Bottom Line: Clean Air Is a Choice We Must Make