II Calendar No. 173 118th CONGRESS 1st Session S. 265 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. Short title This Act may be cited as the Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act . 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 for Mental Health and Substance Use, ; (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 overdose reversal drugs and devices. ; (3) by striking subsection (f); (4) by redesignating subsection (g) as subsection (f); and (5) in subsection (f)(1), as so redesignated, by striking 2019 through 2023 and inserting 2024 through 2028 .

1. Short title This Act may be cited as the Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act . 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. ).

July 26, 2023 Reported with an amendment