119-hr4011

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4011 Introduced in House

    (IH) ]

<DOC>

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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