A proposed settlement has been reached between the U.S. government and Norfolk Southern over the February 2023 train derailment in East Palestine, Ohio. The settlement, estimated to be worth over $310 million, holds Norfolk Southern financially responsible for the derailment's consequences. The railroad will pay a $15 million civil penalty and cover past government cleanup costs of $57.1 million. Additionally, they will be responsible for future cleanup expenses estimated at $235 million. This includes monitoring groundwater and surface water for pollution. Norfolk Southern will also fund a $25 million Community Health Program to provide medical exams and mental health services for affected residents and first responders for the next two decades. They have agreed to pay for medical monitoring to address any health issues arising from the hazardous material release. Safety improvements are another key aspect of the settlement. Norfolk Southern will invest $244 million on safety initiatives by 2025, including installing equipment to detect problems that could lead to derailments.