Climate change is recognized as one of the most significant public health threats of this century. The coming decades will bring higher temperatures, stronger storms, and new patterns of air pollution. These changes will have a significant impact on peoples’ health and well-being. Drawing from examples in the United States and Canada, the discussion will explore how the social determinants of health including housing, income, and social support influence the way that communities experience climate change. By highlighting the intersections between social and environmental determinants of health, this discussion will raise considerations for future policy action.