HR4011-119

2. Community paramedicine grant program Section 330A of the Public Health Service Act (42 U.S.C. 254c) is amended— by redesignating subsections (h), (i), and (j) as subsections (i), (j), and (k), respectively; and by inserting after subsection (g) the following: 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. A grant received under this subsection may be used for any of the following: Hiring community paramedicine personnel. Recruiting and retaining community paramedicine personnel. 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). Purchasing necessary equipment, including personal protective equipment, uniforms, medical supplies, and vehicles. Reimbursing costs associated with certification and recertification courses. Conducting public outreach and education on the patient-centered outcomes that can be achieved through community paramedicine. Any other activity the Secretary determines appropriate related to paramedicine services. To be eligible to receive a grant under this subsection, an entity shall be one of the following: An emergency medical services agency (as defined in section 303(k)(13) of the Controlled Substances Act). A State, Indian Tribe, Tribal organization, county, or municipality. An organization representing the interests of one or more emergency medical services organizations. A for-profit entity is ineligible to apply for a grant under this subsection. 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. 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. Any such application shall, at a minimum, include the following: A description of the financial need of the eligible entity. The costs and benefits of the community paramedicine program to be supported through the grant. An eligible entity may submit an application for a grant under this subsection jointly with one or more other eligible entities. The Secretary, after consultation with national community paramedicine, national fire service, national emergency medical service, and Tribal health organizations, shall appoint an advisory board— to advise the Secretary on carrying out the grant program under this subsection; and to conduct peer review of applications for grants under this subsection. In selecting the recipients of grants under this subsection, the Secretary shall consider each of the following: The recommendations of the advisory board appointed under paragraph (5) with respect to the applications for such grants. The need in the rural area involved for the community paramedicine program proposed to be funded. The Secretary shall give notice of the grant program under this subsection to the heads of community emergency management for Tribal communities. The maximum amount of an award under this subsection shall be— in the case of an eligible entity applying individually, $750,000; and in the case of two or more eligible entities applying jointly, $1,500,000. The period of a grant under this subsection shall not exceed 5 years. Of the amount received through a grant under this subsection for a fiscal year, a grantee may use not more than— 10 percent for administrative costs for the first year of grant funding; and 5 percent for administrative costs for any subsequent year of grant funding. 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. 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— address health problems; 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 enhance access to primary care for medically underserved populations and those with acute and chronic health issues. Of the amount allocated to award grants under this subsection for a fiscal year, the Secretary— shall reserve 15 percent for applicants proposing to use a grant to serve one or more Tribal communities; and if the full amount of such reservation is not obligated, may reallocate the unobligated portion for grants to other eligible entities. Section 330A of the Public Health Service Act (42 U.S.C. 254c) is amended— 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; 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 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). (h)Community paramedicine grants(1)In generalThe 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 fundsA 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 generalTo 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)LimitationA for-profit entity is ineligible to apply for a grant under this subsection.(C)SubgrantsA 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 generalTo 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)ContentsAny 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 applicationsAn eligible entity may submit an application for a grant under this subsection jointly with one or more other eligible entities.(5)Advisory boardThe 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 considerationsIn 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 communitiesThe 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 awardsThe 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 grantThe period of a grant under this subsection shall not exceed 5 years.(10)Administrative costsOf 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 granteesAs 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)DefinitionIn 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)ReservationOf 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..