```

[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 265 Reported in Senate (RS)]

<DOC>

                                                       Calendar No. 173
118th CONGRESS
  1st Session
                                 S. 265

    To reauthorize the rural emergency medical service training and 
         equipment assistance program, and for other purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                            February 2, 2023

 Mr. Durbin (for himself, Ms. Collins, Mr. Tester, and Ms. Murkowski) 
introduced the following bill; which was read twice and referred to the 
          Committee on Health, Education, Labor, and Pensions

                             July 26, 2023

               Reported by Mr. Sanders, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL

 
    To reauthorize the rural emergency medical service training and 
         equipment assistance program, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Supporting and Improving 
Rural EMS Needs Reauthorization Act'' or the ``SIREN Reauthorization 
Act''.</DELETED>

<DELETED>SEC. 2. RURAL EMERGENCY MEDICAL SERVICE TRAINING AND EQUIPMENT 
              ASSISTANCE PROGRAM.</DELETED>

<DELETED>    Section 330J of the Public Health Service Act (42 U.S.C. 
254c-15) is amended--</DELETED>
        <DELETED>    (1) in subsection (a), by striking ``the 
        Administrator of the Health Resources and Services 
        Administration (referred to in this section as the 
        `Secretary')'' and inserting ``the Assistant Secretary for 
        Mental Health and Substance Use,'';</DELETED>
        <DELETED>    (2) in subsection (c)--</DELETED>
                <DELETED>    (A) in paragraph (1)--</DELETED>
                        <DELETED>    (i) in subparagraph (C), by 
                        striking ``; and'' and inserting a semicolon; 
                        and</DELETED>
                        <DELETED>    (ii) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(E) ensure emergency medical services 
                personnel are trained on mental health and substance 
                use disorders and care for individuals with such 
                disorders in emergency situations; and''; and</DELETED>
                <DELETED>    (B) in paragraph (2)--</DELETED>
                        <DELETED>    (i) in subparagraph (B), by 
                        striking ``; or'' and inserting a 
                        semicolon;</DELETED>
                        <DELETED>    (ii) in subparagraph (C), by 
                        striking the period and inserting ``; or''; 
                        and</DELETED>
                        <DELETED>    (iii) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(D) acquire overdose reversal drugs and 
                devices.'';</DELETED>
        <DELETED>    (3) by striking subsection (f);</DELETED>
        <DELETED>    (4) by redesignating subsection (g) as subsection 
        (f); and</DELETED>
        <DELETED>    (5) in subsection (f)(1), as so redesignated, by 
        striking ``2019 through 2023'' and inserting ``2024 through 
        2028''.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Supporting and Improving Rural EMS 
Needs Reauthorization Act'' or the ``SIREN Reauthorization Act''.

SEC. 2. RURAL EMERGENCY MEDICAL SERVICE TRAINING AND EQUIPMENT 
              ASSISTANCE PROGRAM.

    Section 330J of the Public Health Service Act (42 U.S.C. 254c-15) 
is amended--
            (1) in subsection (a), by striking ``the Administrator of 
        the Health Resources and Services Administration (referred to 
        in this section as the `Secretary')'' and inserting ``the 
        Assistant Secretary,'';
            (2) in subsection (c)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (C), by striking ``; 
                        and'' and inserting a semicolon; and
                            (ii) by adding at the end the following:
                    ``(E) ensure emergency medical services personnel 
                are trained on mental health and substance use 
                disorders and care for individuals with such disorders 
                in emergency situations; and''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (B), by striking ``; 
                        or'' and inserting a semicolon;
                            (ii) in subparagraph (C), by striking the 
                        period and inserting ``; or''; and
                            (iii) by adding at the end the following:
                    ``(D) acquire drugs or devices approved, cleared, 
                or otherwise legally marketed under the Federal Food, 
                Drug, and Cosmetic Act for emergency treatment of known 
                or suspected overdose.'';
            (3) by striking subsection (f);
            (4) by redesignating subsection (g) as subsection (f);
            (5) in subsection (f)(1), as so redesignated, by striking 
        ``2019 through 2023'' and inserting ``2024 through 2028'';
            (6) by redesignating such section 330J as section 553 of 
        the Public Health Service Act; and
            (7) by transferring such section 553, as so redesignated, 
        to appear at the end of part D of title V of the Public Health 
        Service Act (42 U.S.C. 290dd et seq.).
                                                       Calendar No. 173

118th CONGRESS

  1st Session

                                 S. 265

_______________________________________________________________________

                                 A BILL

    To reauthorize the rural emergency medical service training and 
         equipment assistance program, and for other purposes.

_______________________________________________________________________

                             July 26, 2023

                       Reported with an amendment
```