HR4011119th CongressWALLET

Community Paramedicine Act of 2025

Sponsored By: Representative Rep. Cleaver, Emanuel [D-MO-5]

Introduced

Summary

This bill would create a new federal grant program to support "community paramedicine" and expand mobile-integrated care by trained paramedics in rural and underserved areas. It focuses on reducing non-emergency use of emergency services and improving access to primary care for people with acute and chronic needs.

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  • Families and patients in rural and medically underserved areas would get more local, on-site care options from specially trained paramedics instead of always going to emergency departments. This aims to improve access for people with chronic conditions and limited primary care.
  • Tribal communities would get priority access with 15 percent of annual grant funds reserved for applicants serving Tribal areas and formal notice to Tribal leadership about the program.
  • Local EMS agencies, counties, Tribal organizations, and nonprofit coalitions could apply for grants to hire staff, buy equipment, certify personnel, run public outreach, and cover medical director oversight costs.
  • Grants would be limited in size and duration with a $750,000 cap for single applicants, a $1.5 million cap for joint applicants, awards up to five years, and administrative cost limits of 10 percent in year one and 5 percent thereafter.
  • For-profit entities would be ineligible but grantees may subcontract or provide subgrants to governmental partners. Reporting to the Health Resources and Services Administration would be required.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Grants to expand rural paramedicine care

If enacted, HHS through HRSA would fund rural community paramedicine programs that bring non‑emergency care to people at home. Eligible applicants would include EMS agencies, States, Tribes, counties, cities, and EMS groups; for‑profit firms could not apply. Grants could run up to 5 years, with up to $750,000 for one applicant or $1,500,000 for joint applicants; 15% of yearly funds would be set aside for Tribal communities. Money could pay for staff, medical director oversight, equipment and vehicles, certification, and public outreach, plus other approved costs. Administrative charges would be capped at 10% in the first year and 5% after. Applicants would need to show need and expected benefits; an advisory board would peer‑review picks, grantees would report results, and recipients could use subgrants or contracts.

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Sponsors & CoSponsors

Sponsor

Rep. Cleaver, Emanuel [D-MO-5]

MO • D

Cosponsors

  • Rep. Harshbarger, Diana [R-TN-1]

    TN • R

    Sponsored 6/13/2025

  • Rep. Nunn, Zachary [R-IA-3]

    IA • R

    Sponsored 10/17/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 10/17/2025

  • Rep. Boebert, Lauren [R-CO-4]

    CO • R

    Sponsored 11/7/2025

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 11/7/2025

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 3/19/2026

  • Elfreth

    MD • D

    Sponsored 3/19/2026

  • Rep. Suozzi, Thomas R. [D-NY-3]

    NY • D

    Sponsored 4/9/2026

  • Rep. Davis, Donald G. [D-NC-1]

    NC • D

    Sponsored 4/16/2026

  • Rep. Goodlander, Maggie [D-NH-2]

    NH • D

    Sponsored 4/15/2026

  • Rep. Pingree, Chellie [D-ME-1]

    ME • D

    Sponsored 4/16/2026

  • Thompson (PA)

    PA • R

    Sponsored 4/14/2026

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 4/15/2026

Roll Call Votes

No roll call votes available for this bill.

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