Outdoor workers, particularly in construction and agriculture, face the highest risks from extreme heat. Rising temperatures have led to an increase in heat-related illnesses and fatalities, with 55 deaths reported in 2023. States without enforceable heat standards leave workers exposed to dangerous conditions, exacerbating health risks. The lack of uniform federal regulations creates disparities in worker protections, with some states offering robust safeguards while others provide none. Vulnerable populations, including low-income workers and those in physically demanding jobs, are disproportionately affected.