I 
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 Representa-
tives 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’’. 
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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 fol-
lowing: 
‘‘(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 per-
sonnel. 
‘‘(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 over-
sight’ are defined in section 303(k)(13) of the 
Controlled Substances Act). 
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‘‘(D) Purchasing necessary equipment, in-
cluding personal protective equipment, uni-
forms, medical supplies, and vehicles. 
‘‘(E) Reimbursing costs associated with 
certification and recertification courses. 
‘‘(F) Conducting public outreach and edu-
cation on the patient-centered outcomes that 
can 
be 
achieved 
through 
community 
paramedicine. 
‘‘(G) Any other activity the Secretary de-
termines appropriate related to paramedicine 
services. 
‘‘(3) ELIGIBILITY.— 
‘‘(A) IN GENERAL.—To be eligible to re-
ceive 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 or-
ganization, county, or municipality. 
‘‘(iii) An organization representing the 
interests of one or more emergency medical 
services organizations. 
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‘‘(B) LIMITATION.—A for-profit entity is 
ineligible to apply for a grant under this sub-
section. 
‘‘(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 re-
ceive 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 Sec-
retary 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 
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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 ap-
point 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 select-
ing 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 re-
spect to the applications for such grants. 
‘‘(B) The need in the rural area involved 
for the community paramedicine program pro-
posed 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. 
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‘‘(8) MAXIMUM
AMOUNT
OF
AWARDS.—The 
maximum amount of an award under this subsection 
shall be— 
‘‘(A) in the case of an eligible entity apply-
ing individually, $750,000; and 
‘‘(B) in the case of two or more eligible en-
tities 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 condi-
tion 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 re-
garding the activities funded through the grant and 
the results of such activities. 
‘‘(12) DEFINITION.—In this subsection, the 
term ‘community paramedicine’ means mobile-inte-
grated health care through which communities uti-
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lize 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 mo-
bile 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 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 eligible entities.’’. 
(b) CONFORMING AMENDMENTS.—Section 330A of 
the Public Health Service Act (42 U.S.C. 254c) is amend-
ed— 
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(1) in the section heading, by striking ‘‘AND 
SMALL HEALTH CARE PROVIDER QUALITY IM-
PROVEMENT’’ and inserting ‘‘SMALL
HEALTH 
CARE PROVIDER QUALITY IMPROVEMENT, AND 
COMMUNITY
PARAMEDICINE
SERVICES
SUP-
PORT’’; 
(2) in subsection (a), by striking ‘‘and for the 
planning and implementation of small health care 
provider quality improvement activities’’ and insert-
ing ‘‘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 sub-
section (a)(1) of this section) by striking ‘‘sub-
sections (e), (f), and (g)’’ and inserting ‘‘subsections 
(e), (f), (g), and (h)’’. 
Æ 
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