I 

118TH CONGRESS 

2D SESSION H. R. 8042 

To authorize the Secretary of Health and Human Services to award grants 

to qualified entities to support community paramedicine programs, and 

for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 17, 2024 

Mr. CLEAVER (for himself and Mr. ARMSTRONG) introduced the following bill; 

which was referred to the Committee on Energy and Commerce 

A BILL 

To authorize the Secretary of Health and Human Services 

to award grants to qualified entities to support community paramedicine programs, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Community 

5 Paramedicine Act of 2024’’. 

6 SEC. 2. COMMUNITY PARAMEDICINE GRANT PROGRAM. 

7 Part P of title III of the Public Health Service Act 

8 (42 U.S.C. 280g et seq.) is amended by adding at the end 

9 the following: 


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1 ‘‘SEC. 399V–8. COMMUNITY PARAMEDICINE GRANT PRO2 GRAM. 

3 ‘‘(a) IN GENERAL.—The Secretary, acting through 

4 the Administrator of the Health Resources and Services 

5 Administration, shall award grants to qualified entities to 

6 support community paramedicine programs. 

7 ‘‘(b) USE OF FUNDS.—A grant received under sub8 section (a) may be used for any of the following: 

9 ‘‘(1) Hiring community paramedicine personnel. 

10 ‘‘(2) Recruiting and retaining community 

11 paramedicine personnel. 

12 ‘‘(3) Reimbursing costs associated with a med13 ical director providing medical oversight (as the 

14 terms ‘medical director’ and ‘medical oversight’ are 

15 defined in section 303(k)(13) of the Controlled Sub16 stances Act). 

17 ‘‘(4) Purchasing necessary equipment, including 

18 personal protective equipment, uniforms, medical 

19 supplies, and vehicles. 

20 ‘‘(5) Reimbursing costs associated with certifi21 cation and recertification courses. 

22 ‘‘(6) Conducting public outreach and education 

23 on the patient-centered outcomes that can be 

24 achieved through community paramedicine. 

25 ‘‘(7) Any other activity the Secretary deter26 mines appropriate related to paramedicine services. 


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1 ‘‘(c) QUALIFIED ENTITIES.— 

2 ‘‘(1) IN GENERAL.—To be qualified to receive a 

3 grant under this section, an entity shall be (subject 

4 to paragraph (2)) one of the following: 

5 ‘‘(A) An emergency medical services agen6 cy (as defined in section 303(k)(13) of the Con7 trolled Substances Act). 

8 ‘‘(B) A State, Indian Tribe, Tribal organi9 zation, county, or municipality. 

10 ‘‘(C) An organization representing the in11 terests of one or more emergency medical serv12 ices organizations. 

13 ‘‘(2) LIMITATION.—A for-profit entity is ineli14 gible to receive a grant under this section, but is eli15 gible to receive a subgrant from, or enter into a con16 tract with, a grantee under this section to provide 

17 items or services in connection with the grant. 

18 ‘‘(d) APPLICATIONS.— 

19 ‘‘(1) IN GENERAL.—To seek a grant under this 

20 section, a qualified entity shall submit an application 

21 at such time, in such manner, and containing such 

22 information and assurances as the Secretary may re23 quire. 

24 ‘‘(2) CONTENTS.—Any such application shall, 

25 at a minimum, include the following: 


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1 ‘‘(A) A description of the financial need of 

2 the qualified entity. 

3 ‘‘(B) The costs and benefits of the commu4 nity paramedicine program to be supported 

5 through the grant. 

6 ‘‘(3) JOINT APPLICATIONS.—A qualified entity 

7 may submit an application for a grant under this 

8 section jointly with one or more other qualified enti9 ties. 

10 ‘‘(e) ADVISORY BOARD.—The Secretary, after con11 sultation with national community paramedicine, national 

12 fire service, national emergency medical service, and Trib13 al health organizations, shall appoint an advisory board— 

14 ‘‘(1) to advise the Secretary on carrying out the 

15 grant program under this section; 

16 ‘‘(2) to assist the Secretary in preparing the re17 port required under subsection (a); and 

18 ‘‘(3) to conduct peer review of applications for 

19 grants under this section. 

20 ‘‘(f) SELECTION CONSIDERATIONS.—In selecting the 

21 recipients of grants under this section, the Secretary shall 

22 consider each of the following: 

23 ‘‘(1) The recommendations of the advisory 

24 board appointed under paragraph (1) with respect to 

25 the applications for such grants. 


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1 ‘‘(2) The need in the geographic area involved 

2 for the community paramedicine program proposed 

3 to be funded. 

4 ‘‘(g) NOTICE TO TRIBAL COMMUNITIES.—The Sec5 retary shall give notice of the grant program under this 

6 section to the heads of community emergency management 

7 for Tribal communities. 

8 ‘‘(h) MAXIMUM AMOUNT OF AWARDS.—The max9 imum amount of an award under this section shall be— 

10 ‘‘(1) in the case of a qualified entity applying 

11 individually, $750,000; and 

12 ‘‘(2) in the case of two or more qualified enti13 ties applying jointly, $1,500,000. 

14 ‘‘(i) PERIOD OF A GRANT.—The period of a grant 

15 under this section shall not exceed 5 years. 

16 ‘‘(j) ADMINISTRATIVE COSTS.—Of the amount re17 ceived through a grant under this section for a fiscal year, 

18 a grantee may use not more than— 

19 ‘‘(1) 10 percent for administrative costs for the 

20 first year of grant funding; and 

21 ‘‘(2) 5 percent for administrative costs for any 

22 subsequent year of grant funding. 

23 ‘‘(k) REPORTING BY GRANTEES.—As a condition on 

24 receipt of a grant under this section, a qualified entity 

25 shall agree to submit to the Secretary such information 


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1 as the Secretary may require regarding the activities fund2 ed through the grant and the results of such activities. 

3 ‘‘(l) REPORTING BY SECRETARY.—Not later than 90 

4 days after the date of enactment of this section, the Sec5 retary shall submit a report to the Congress— 

6 ‘‘(1) detailing the challenges of establishing and 

7 operating community paramedicine programs, espe8 cially to serve rural and underserved communities; 

9 ‘‘(2) demonstrating the cost-savings and value 

10 of community paramedicine programs to patients, 

11 communities, and the health care system; and 

12 ‘‘(3) providing recommendations for— 

13 ‘‘(A) establishing, and providing support 

14 for ongoing operations of, community 

15 paramedicine programs; 

16 ‘‘(B) serving rural and underserved com17 munities through such programs; and 

18 ‘‘(C) best practices for community 

19 paramedicine programs. 

20 ‘‘(m) DEFINITION.—In this section, the term ‘com21 munity paramedicine’ means mobile-integrated health care 

22 through which communities utilize specially trained para23 medics, often teamed with other health care practitioners 

24 or social workers, to— 

25 ‘‘(1) address health problems; 


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1 ‘‘(2) minimize the use of emergency care re2 sources in circumstances when non-emergency re3 sources like community paramedic or mobile inte4 grated healthcare (MIH) programs might be used, 

5 thereby making emergency resources more available; 

6 and 

7 ‘‘(3) enhance access to primary care for medi8 cally underserved populations and those with acute 

9 and chronic health issues. 

10 ‘‘(n) FUNDING.— 

11 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.— 

12 To carry out this section, there is authorized to be 

13 appropriated $25,000,000 for each of fiscal years 

14 2025 through 2029. 

15 ‘‘(2) RESERVATION.—Of the amount appro16 priated to award grants under this section for a fis17 cal year, the Secretary— 

18 ‘‘(A) shall reserve 15 percent for appli19 cants proposing to use a grant to serve one or 

20 more Tribal communities; and 

21 ‘‘(B) if the full amount of such reservation 

22 is not obligated, may reallocate the unobligated 

23 portion for grants to other qualified entities.’’. 

Æ 


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