H.R. 5429House115th Congress (2017-2019)In Committee

SIREN Act of 2018

Introduced April 5, 2018

AI-Generated Summary

Updated April 15, 2026 at 9:04 PM UTC

The SIREN Act of 2018 reauthorizes a federal grant program that helps rural emergency medical services (EMS) agencies with training and equipment. It expands eligibility to include both government‑run and nonprofit EMS agencies, clarifies how grant money can be used, and defines what counts as “rural.” The bill provides up to $10 million each year from 2018 through 2022, with a small portion allowed for administrative costs.

Key Provisions

  • Eligibility is broadened to cover EMS agencies run by local or tribal governments as well as nonprofit EMS agencies that are tax‑exempt under the Internal Revenue Code.
  • Grants may be used to recruit and train EMS personnel, run certification courses, develop technology‑based education, purchase EMS equipment, and buy personal protective equipment required by OSHA.
  • The bill defines “emergency medical services” as resources used by public or private nonprofit licensed entities to provide out‑of‑facility medical care, and clarifies the meaning of “rural area” to include non‑metropolitan statistical areas, state‑designated rural areas, and rural census tracts within metropolitan areas.
  • Funding is authorized at $10 million per fiscal year for FY 2018‑2022, with up to 10 percent of each year’s allocation permitted for administrative expenses.

Legislative Activity

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HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

April 5, 2018

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HouseIntro Referral

Introduced in House

April 5, 2018

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

April 5, 2018

Bill Text

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Introduced in HouseIssued April 5, 2018

I

115th CONGRESS

2d Session

H. R. 5429

IN THE HOUSE OF REPRESENTATIVES

April 5, 2018

Mr. Gianforte (for himself, Mr. Loebsack, and Mr. Duffy) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To reauthorize the rural emergency medical services training and equipment assistance program under section 330J of the Public Health Service Act.

1.

Short title

This Act may be cited as the Supporting and Improving Rural EMS Needs Act of 2018 or the SIREN Act of 2018.

2.

Reauthorization of rural emergency medical services 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 in rural areas and inserting in rural areas or to residents of rural areas; and

(2)

by striking subsections (b) through (g) and inserting the following:

(b)

Eligibility

To be eligible to receive grant under this section, an entity shall be—

(1)

an emergency medical services agency operated by a local or tribal government (including fire-based and non-fire based); or

(2)

an emergency medical services agency that is described in section 501(c) of the Internal Revenue Code of 1986 and exempt from tax under section 501(a) of such Code.

(c)

Use of funds

An entity shall use amounts received through a grant under subsection (a) to—

(1)

recruit emergency medical services personnel;

(2)

train emergency medical services personnel as appropriate to maintain licenses and certifications relevant to service in an emergency medical services agency described in subsection (b);

(3)

conduct courses that qualify graduates to serve in an emergency medical services agency described in subsection (b) in accordance with State and local requirements;

(4)

fund specific training to meet Federal or State licensing or certification requirements;

(5)

develop new ways to educate emergency health care providers through the use of technology-enhanced educational methods;

(6)

acquire emergency medical services equipment; and

(7)

acquire personal protective equipment for emergency medical services personnel as required by the Occupational Safety and Health Administration.

(d)

Definitions

In this section:

(1)

The term emergency medical services

(A)

means resources used by a public or private nonprofit licensed entity to deliver medical care outside of a medical facility under emergency conditions that occur as a result of the condition of the patient; and

(B)

includes services delivered (either on a compensated or volunteer basis) by an emergency medical services provider or other provider that is licensed or certified by the State involved as an emergency medical technician, a paramedic, or an equivalent professional (as determined by the State).

(2)

The term rural area means—

(A)

a nonmetropolitan statistical area;

(B)

an area designated as a rural area by any law or regulation of a State; or

(C)

a rural census tract of a metropolitan statistical area (as determined under the most recent Goldsmith Modification, originally published in a notice of availability of funds in the Federal Register on February 27, 1992, 57 Fed. Reg. 6725).

(e)

Authorization of appropriations

(1)

In general

There are authorized to be appropriated to carry out this section $10,000,000 for each fiscal years 2018 through 2022.

(2)

Administrative costs

The Secretary may use not more than 10 percent of the amount appropriated pursuant to paragraph (1) for a fiscal year for the administrative expenses of carrying out this section.

.