
Table of Contents:
Johnson County's Mobile Integrated Healthcare Program Adds Staff, Chases Bigger Funding to Go Statewide
Scott County's MEDIC EMS Seeks $720K Grant to Bring Non-Emergency Paramedic Care to Rural Homes
Policy Brief: Community Paramedicine Act of 2025 Gains Bipartisan Momentum in Congress, Still Awaiting Committee Action
Region of the Week
Read Time: 5 minutes

Johnson County Ambulance Service's MIH program, launched in 2024 with a single community paramedic, now has a second paramedic on board and is training 14 additional EMS workers in community paramedicine.
A $440,633 state grant received in December 2025 funds new opioid use disorder-specific work, including a dedicated community paramedic position now filled by Kris Kron, who came from GuideLink Center; she and original paramedic Mike Mothershed together manage 15–20 clients at a time, split between chronic disease management and opioid use disorder cases.
Some of that opioid grant funding is sponsoring online community paramedicine certification courses for nine Johnson County EMS workers plus paramedics from Scott, Tipton, Clayton, and Hardin counties.
The program has applied for Iowa's "Healthy Hometowns" funding, part of the federal Rural Health Transformation Program created under the 2025 reconciliation bill, which could add two full-time community paramedics, a coordinator, and part-time staff, and help Iowa and Keokuk counties (with Muscatine also interested) build their own MIH programs over a four-year runway.
Program director Fiona Johnson says the long-term goal is state recognition of MIH standards that would open the door to Medicaid and private insurance reimbursement, making the model sustainable beyond grant funding.
Who to Contact:
Fiona Johnson, Director of Johnson County Ambulance Service: [email protected] or 319-398-8331.
MEDIC EMS of Scott County, Iowa is pursuing an Iowa HHS grant, funded through Congress's $50 billion Rural Health Transformation Program, that would reimburse up to about $720,000 to send paramedics and EMTs into rural patients' homes for routine, non-emergency care — with an October decision expected and a potential service area spanning Muscatine, Clinton, Jackson, Louisa, and Cedar counties.

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Policy Brief: Community Paramedicine Act of 2025 Gains Bipartisan Momentum in Congress, Still Awaiting Committee Action
H.R. 4011 was introduced June 13, 2025 by Rep. Emanuel Cleaver [D-MO-5], with original cosponsor Rep. Diana Harshbarger [R-TN-1]; it was referred to the House Committee on Energy and Commerce, where it currently sits.
The bill would amend the Public Health Service Act to let HHS, through the Health Resources and Services Administration (HRSA), award grants supporting community paramedicine programs specifically in rural areas.
Eligible uses for grant funds include hiring and retaining community paramedicine personnel, purchasing equipment (PPE, uniforms, medical supplies, vehicles), reimbursing certification and recertification course costs, and funding public outreach on patient-centered outcomes.
Cosponsors grew from 1 to 14 between introduction and May 20, 2026, drawing support from both parties, including Reps. Zachary Nunn (R-IA), Lauren Boebert (R-CO), Glenn Thompson (R-PA), and Sharice Davids (D-KS).
The bill is a rural-specific successor to the 2024 Community Paramedicine Act (H.R. 8042), which stalled in the same committee last Congress without a vote.

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Region of the Week: Connecticut
Backus Hospital, Hartford HealthCare, and American Ambulance launched Connecticut's first state-designated Mobile Integrated Health (MIH) program, aiming to cut hospital readmissions among rural, vulnerable, and medically complex patients.
The program is expected to serve up to 1,200 patients a year across ten eastern Connecticut towns — Norwich, Montville, Plainfield, Preston, Ledyard, Sprague, Lisbon, Griswold, Franklin, and Bozrah — with a focus on reducing readmissions for congestive heart failure patients, who make up nearly one in five Backus discharges that return to the hospital.
Specially trained paramedics will provide in-home wellness checks, post-hospital follow-up, infusion services, medication management, chronic disease management, and vaccinations, working alongside nurses and patients' existing doctors.
The program traces back to 2017 conversations and 2019 statutory authorization from the state legislature, but sat unfunded until DPH Commissioner Dr. Manisha Juthani secured appropriations after taking office in 2021.
Hartford HealthCare leadership says the eastern Connecticut launch is meant as a proof point before scaling the model statewide.






