‘‘(c) QUALIFIED ENTITIES.— 
‘‘(1) IN GENERAL.—To be qualified to receive a 
grant under this section, an entity shall be (subject 
to paragraph (2)) one of the following: 
‘‘(A) An emergency medical services agen-
cy (as defined in section 303(k)(13) of the Con-
trolled Substances Act). 
‘‘(B) A State, Indian Tribe, Tribal organi-
zation, county, or municipality. 
‘‘(C) An organization representing the in-
terests of one or more emergency medical serv-
ices organizations. 
‘‘(2) LIMITATION.—A for-profit entity is ineli-
gible to receive a grant under this section, but is eli-
gible to receive a subgrant from, or enter into a con-
tract with, a grantee under this section to provide 
items or services in connection with the grant. 
‘‘(d) APPLICATIONS.— 
‘‘(1) IN GENERAL.—To seek a grant under this 
section, a qualified entity shall submit an application 
at such time, in such manner, and containing such 
information and assurances as the Secretary may re-
quire. 
‘‘(2) CONTENTS.—Any such application shall, 
at a minimum, include the following: 
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‘‘(A) A description of the financial need of 
the qualified entity. 
‘‘(B) The costs and benefits of the commu-
nity paramedicine program to be supported 
through the grant. 
‘‘(3) JOINT APPLICATIONS.—A qualified entity 
may submit an application for a grant under this 
section jointly with one or more other qualified enti-
ties. 
‘‘(e) ADVISORY BOARD.—The Secretary, after con-
sultation with national community paramedicine, national 
fire service, national emergency medical service, and Trib-
al health organizations, shall appoint an advisory board— 
‘‘(1) to advise the Secretary on carrying out the 
grant program under this section; 
‘‘(2) to assist the Secretary in preparing the re-
port required under subsection (a); and 
‘‘(3) to conduct peer review of applications for 
grants under this section. 
‘‘(f) SELECTION CONSIDERATIONS.—In selecting the 
recipients of grants under this section, the Secretary shall 
consider each of the following: 
‘‘(1) The recommendations of the advisory 
board appointed under paragraph (1) with respect to 
the applications for such grants. 
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‘‘(2) The need in the geographic area involved 
for the community paramedicine program proposed 
to be funded. 
‘‘(g) NOTICE TO TRIBAL COMMUNITIES.—The Sec-
retary shall give notice of the grant program under this 
section to the heads of community emergency management 
for Tribal communities. 
‘‘(h) MAXIMUM AMOUNT OF AWARDS.—The max-
imum amount of an award under this section shall be— 
‘‘(1) in the case of a qualified entity applying 
individually, $750,000; and 
‘‘(2) in the case of two or more qualified enti-
ties applying jointly, $1,500,000. 
‘‘(i) PERIOD OF A GRANT.—The period of a grant 
under this section shall not exceed 5 years. 
‘‘(j) ADMINISTRATIVE COSTS.—Of the amount re-
ceived through a grant under this section for a fiscal year, 
a grantee may use not more than— 
‘‘(1) 10 percent for administrative costs for the 
first year of grant funding; and 
‘‘(2) 5 percent for administrative costs for any 
subsequent year of grant funding. 
‘‘(k) REPORTING BY GRANTEES.—As a condition on 
receipt of a grant under this section, a qualified entity 
shall agree to submit to the Secretary such information 
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as the Secretary may require regarding the activities fund-
ed through the grant and the results of such activities. 
‘‘(l) REPORTING BY SECRETARY.—Not later than 90 
days after the date of enactment of this section, the Sec-
retary shall submit a report to the Congress— 
‘‘(1) detailing the challenges of establishing and 
operating community paramedicine programs, espe-
cially to serve rural and underserved communities; 
‘‘(2) demonstrating the cost-savings and value 
of community paramedicine programs to patients, 
communities, and the health care system; and 
‘‘(3) providing recommendations for— 
‘‘(A) establishing, and providing support 
for 
ongoing 
operations 
of, 
community 
paramedicine programs; 
‘‘(B) serving rural and underserved com-
munities through such programs; and 
‘‘(C) 
best 
practices 
for 
community 
paramedicine programs. 
‘‘(m) DEFINITION.—In this section, the term ‘com-
munity paramedicine’ means mobile-integrated health care 
through which communities utilize specially trained para-
medics, often teamed with other health care practitioners 
or social workers, to— 
‘‘(1) address health problems; 
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‘‘(2) minimize the use of emergency care re-
sources in circumstances when non-emergency re-
sources like community paramedic or mobile inte-
grated healthcare (MIH) programs might be used, 
thereby making emergency resources more available; 
and 
‘‘(3) enhance access to primary care for medi-
cally underserved populations and those with acute 
and chronic health issues. 
‘‘(n) FUNDING.— 
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.— 
To carry out this section, there is authorized to be 
appropriated $25,000,000 for each of fiscal years 
2025 through 2029. 
‘‘(2) RESERVATION.—Of the amount appro-
priated to award grants under this section for a fis-
cal year, the Secretary— 
‘‘(A) shall reserve 15 percent for appli-
cants 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 qualified entities.’’. 
Æ 
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