[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4011 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 4011
To amend the Public Health Service Act to authorize the Secretary of
Health and Human Services to award grants to eligible entities to
support community paramedicine programs carried out in rural areas, and
for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 13, 2025
Mr. Cleaver (for himself and Mrs. Harshbarger) introduced the following
bill; which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to authorize the Secretary of
Health and Human Services to award grants to eligible entities to
support community paramedicine programs carried out in rural areas, and
for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Community Paramedicine Act of
2025''.
SEC. 2. COMMUNITY PARAMEDICINE GRANT PROGRAM.
(a) In General.--Section 330A of the Public Health Service Act (42
U.S.C. 254c) is amended--
(1) by redesignating subsections (h), (i), and (j) as
subsections (i), (j), and (k), respectively; and
(2) by inserting after subsection (g) the following:
``(h) Community Paramedicine Grants.--
``(1) In general.--The Secretary, acting through the
Administrator of the Health Resources and Services
Administration, shall award grants to eligible entities to
support community paramedicine programs carried out in rural
areas.
``(2) Use of funds.--A grant received under this subsection
may be used for any of the following:
``(A) Hiring community paramedicine personnel.
``(B) Recruiting and retaining community
paramedicine personnel.
``(C) Reimbursing costs associated with a medical
director providing medical oversight (as the terms
`medical director' and `medical oversight' are defined
in section 303(k)(13) of the Controlled Substances
Act).
``(D) Purchasing necessary equipment, including
personal protective equipment, uniforms, medical
supplies, and vehicles.
``(E) Reimbursing costs associated with
certification and recertification courses.
``(F) Conducting public outreach and education on
the patient-centered outcomes that can be achieved
through community paramedicine.
``(G) Any other activity the Secretary determines
appropriate related to paramedicine services.
``(3) Eligibility.--
``(A) In general.--To be eligible to receive a
grant under this subsection, an entity shall be one of
the following:
``(i) An emergency medical services agency
(as defined in section 303(k)(13) of the
Controlled Substances Act).
``(ii) A State, Indian Tribe, Tribal
organization, county, or municipality.
``(iii) An organization representing the
interests of one or more emergency medical
services organizations.
``(B) Limitation.--A for-profit entity is
ineligible to apply for a grant under this subsection.
``(C) Subgrants.--A recipient of a grant under the
subsection may make a subgrant, or enter into a
contract with, one or more persons (including
governmental entities) to provide items or services in
connection with the grant.
``(4) Applications.--
``(A) In general.--To be eligible to receive a
grant under this subsection, an eligible entity shall
prepare and submit an application at such time, in such
manner, and containing such information and assurances
as the Secretary may require.
``(B) Contents.--Any such application shall, at a
minimum, include the following:
``(i) A description of the financial need
of the eligible entity.
``(ii) The costs and benefits of the
community paramedicine program to be supported
through the grant.
``(C) Joint applications.--An eligible entity may
submit an application for a grant under this subsection
jointly with one or more other eligible entities.
``(5) Advisory board.--The Secretary, after consultation
with national community paramedicine, national fire service,
national emergency medical service, and Tribal health
organizations, shall appoint an advisory board--
``(A) to advise the Secretary on carrying out the
grant program under this subsection; and
``(B) to conduct peer review of applications for
grants under this subsection.
``(6) Selection considerations.--In selecting the
recipients of grants under this subsection, the Secretary shall
consider each of the following:
``(A) The recommendations of the advisory board
appointed under paragraph (5) with respect to the
applications for such grants.
``(B) The need in the rural area involved for the
community paramedicine program proposed to be funded.
``(7) Notice to tribal communities.--The Secretary shall
give notice of the grant program under this subsection to the
heads of community emergency management for Tribal communities.
``(8) Maximum amount of awards.--The maximum amount of an
award under this subsection shall be--
``(A) in the case of an eligible entity applying
individually, $750,000; and
``(B) in the case of two or more eligible entities
applying jointly, $1,500,000.
``(9) Period of a grant.--The period of a grant under this
subsection shall not exceed 5 years.
``(10) Administrative costs.--Of the amount received
through a grant under this subsection for a fiscal year, a
grantee may use not more than--
``(A) 10 percent for administrative costs for the
first year of grant funding; and
``(B) 5 percent for administrative costs for any
subsequent year of grant funding.
``(11) Reporting by grantees.--As a condition on receipt of
a grant under this subsection, an eligible entity shall agree
to submit to the Secretary such information as the Secretary
may require regarding the activities funded through the grant
and the results of such activities.
``(12) Definition.--In this subsection, the term `community
paramedicine' means mobile-integrated health care through which
communities utilize specially trained paramedics, often teamed
with other health care practitioners or social workers, to--
``(A) address health problems;
``(B) minimize the use of emergency care resources
in circumstances when non-emergency resources such as
community paramedic or mobile integrated healthcare
programs might be used, thereby making emergency
resources more available; and
``(C) enhance access to primary care for medically
underserved populations and those with acute and
chronic health issues.
``(13) Reservation.--Of the amount allocated to award
grants under this subsection for a fiscal year, the Secretary--
``(A) shall reserve 15 percent for applicants
proposing to use a grant to serve one or more Tribal
communities; and
``(B) if the full amount of such reservation is not
obligated, may reallocate the unobligated portion for
grants to other eligible entities.''.
(b) Conforming Amendments.--Section 330A of the Public Health
Service Act (42 U.S.C. 254c) is amended--
(1) in the section heading, by striking ``and small health
care provider quality improvement'' and inserting ``small
health care provider quality improvement, and community
paramedicine services support'';
(2) in subsection (a), by striking ``and for the planning
and implementation of small health care provider quality
improvement activities'' and inserting ``for the planning and
implementation of small health care provider quality
improvement activities, and for providing support for community
paramedicine services''; and
(3) in subsection (j) (as redesignated by subsection (a)(1)
of this section) by striking ``subsections (e), (f), and (g)''
and inserting ``subsections (e), (f), (g), and (h)''.
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