II 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Supporting and Im5 proving Rural EMS Needs Reauthorization Act’’ or the 

6 ‘‘SIREN Reauthorization Act’’. 


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•S 265 RS

1 SEC. 2. RURAL EMERGENCY MEDICAL SERVICE TRAINING 

2 AND EQUIPMENT ASSISTANCE PROGRAM. 

3 Section 330J of the Public Health Service Act (42 

4 U.S.C. 254c–15) is amended— 

5 (1) in subsection (a), by striking ‘‘the Adminis6 trator of the Health Resources and Services Admin7 istration (referred to in this section as the ‘Sec8 retary’)’’ and inserting ‘‘the Assistant Secretary for 

9 Mental Health and Substance Use,’’; 

10 (2) in subsection (c)— 

11 (A) in paragraph (1)— 

12 (i) in subparagraph (C), by striking ‘‘; 

13 and’’ and inserting a semicolon; and 

14 (ii) by adding at the end the fol15 lowing: 

16 ‘‘(E) ensure emergency medical services 

17 personnel are trained on mental health and sub18 stance use disorders and care for individuals 

19 with such disorders in emergency situations; 

20 and’’; and 

21 (B) in paragraph (2)— 

22 (i) in subparagraph (B), by striking ‘‘; 

23 or’’ and inserting a semicolon; 

24 (ii) in subparagraph (C), by striking 

25 the period and inserting ‘‘; or’’; and 


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•S 265 RS

1 (iii) by adding at the end the fol2 lowing: 

3 ‘‘(D) acquire overdose reversal drugs and 

4 devices.’’; 

5 (3) by striking subsection (f); 

6 (4) by redesignating subsection (g) as sub7 section (f); and 

8 (5) in subsection (f)(1), as so redesignated, by 

9 striking ‘‘2019 through 2023’’ and inserting ‘‘2024 

10 through 2028’’. 

11 SECTION 1. SHORT TITLE. 

12 This Act may be cited as the ‘‘Supporting and Improv13 ing Rural EMS Needs Reauthorization Act’’ or the ‘‘SIREN 

14 Reauthorization Act’’. 

15 SEC. 2. RURAL EMERGENCY MEDICAL SERVICE TRAINING 

16 AND EQUIPMENT ASSISTANCE PROGRAM. 

17 Section 330J of the Public Health Service Act (42 

18 U.S.C. 254c–15) is amended— 

19 (1) in subsection (a), by striking ‘‘the Adminis20 trator of the Health Resources and Services Adminis21 tration (referred to in this section as the ‘Secretary’)’’ 

22 and inserting ‘‘the Assistant Secretary,’’; 

23 (2) in subsection (c)— 

24 (A) in paragraph (1)— 


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•S 265 RS

1 (i) in subparagraph (C), by striking ‘‘; 

2 and’’ and inserting a semicolon; and 

3 (ii) by adding at the end the following: 

4 ‘‘(E) ensure emergency medical services per5 sonnel are trained on mental health and sub6 stance use disorders and care for individuals 

7 with such disorders in emergency situations; 

8 and’’; and 

9 (B) in paragraph (2)— 

10 (i) in subparagraph (B), by striking ‘‘; 

11 or’’ and inserting a semicolon; 

12 (ii) in subparagraph (C), by striking 

13 the period and inserting ‘‘; or’’; and 

14 (iii) by adding at the end the fol15 lowing: 

16 ‘‘(D) acquire drugs or devices approved, 

17 cleared, or otherwise legally marketed under the 

18 Federal Food, Drug, and Cosmetic Act for emer19 gency treatment of known or suspected over20 dose.’’; 

21 (3) by striking subsection (f); 

22 (4) by redesignating subsection (g) as subsection 

23 (f); 


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•S 265 RS

1 (5) in subsection (f)(1), as so redesignated, by 

2 striking ‘‘2019 through 2023’’ and inserting ‘‘2024 

3 through 2028’’; 

4 (6) by redesignating such section 330J as section 

5 553 of the Public Health Service Act; and 

6 (7) by transferring such section 553, as so redes7 ignated, to appear at the end of part D of title V of 

8 the Public Health Service Act (42 U.S.C. 290dd et 

9 seq.). 


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Calendar No. 173 

118TH CONGRESS 

1ST SESSION S. 265 

A BILL 

To reauthorize the rural emergency medical service 

for other purposes. training and equipment assistance program, and 

JULY 26, 2023 

Reported with an amendment 


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