S. 265Senate118th Congress (2023-2025)Enacted

SIREN Reauthorization Act

Introduced February 2, 2023

AI-Generated Summary

Updated January 20, 2026 at 3:00 AM UTC

The SIREN Reauthorization Act renews the Rural Emergency Medical Service (EMS) Training and Equipment Assistance Program for the 2024‑2028 period. It updates the program’s oversight, expands training requirements, and broadens the types of supplies that can be purchased. The changes affect rural EMS providers and the federal officials who manage the program.

Key Provisions

  • Changes the program’s overseeing official from the Health Resources and Services Administration Administrator to the Assistant Secretary.
  • Adds a new training requirement that EMS personnel be trained to handle mental health and substance‑use disorders in emergencies.
  • Allows the program to acquire drugs or devices approved under the FD&C Act for emergency treatment of suspected overdoses.
  • Updates the program’s authorization period to run from 2024 through 2028.
  • Replaces and renumbers certain subsections, including removing the old subsection (f) and redesignating it as (f) with new date language, and renames section 330J as section 553 within the Public Health Service Act.

Legislative Activity

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17 earlier actions
Became Law Latest Action

Became Public Law No: 118-84.

September 26, 2024

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SenateIntro Referral

Introduced in Senate

February 2, 2023

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text: CR S236)

February 2, 2023

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

June 15, 2023

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.

July 26, 2023

SenateCalendars

Placed on Senate Legislative Calendar under General Orders. Calendar No. 173.

July 26, 2023

SenateFloor

Passed Senate with an amendment by Unanimous Consent. (consideration: CR S5966-5967; text: CR S5966)

December 13, 2023

SenateFloor

Message on Senate action sent to the House.

December 14, 2023

HouseFloor

Received in the House.

December 15, 2023 • 10:05 AM

HouseFloor

Held at the desk.

December 15, 2023 • 10:05 AM

HouseFloor

Mrs. Rodgers (WA) moved to suspend the rules and pass the bill.

September 17, 2024 • 8:55 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H5306)

September 17, 2024 • 8:55 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on S. 265.

September 17, 2024 • 8:55 PM

SenateFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5306)

September 17, 2024 • 8:59 PM

HouseFloor

On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5306)

September 17, 2024 • 8:59 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

September 17, 2024 • 8:59 PM

President

Presented to President.

September 24, 2024

Became Law

Signed by President.

September 26, 2024

Became Law

Became Public Law No: 118-84.

September 26, 2024

Floor Debate

5 members

What members said about S. 265 on the floor

1 Republican4 Democrats
Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 2, 2023

Madam President, I ask unanimous consent that the text of the bill be printed in the Record. Madam President, today I am reintroducing the Caring for All Families Act. It will expand protections of…

Alex Padilla
Sen. Alex PadillaD-CA · Feb 2, 2023

Madam President, I rise to speak in support of the bipartisan American Music Fairness Act, which I have reintroduced with Senator Blackburn today. Artists pour their heart and soul into the music we…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Feb 2, 2023

Madam President, today I rise to introduce the Extreme Risk Protection Order Expansion Act. The premise of this bill is simple: Individuals who pose a serious threat to themselves or others should…

Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Sep 17, 2024

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise today to speak in support of S. 265, the Supporting and Improving Rural EMS Needs Reauthorization Act, or the SIREN…

Cathy McMorris Rodgers
Rep. Cathy McMorris RodgersR-WA-5 · Sep 17, 2024

Mr. Speaker, I move to suspend the rules and pass the bill (S. 265) to reauthorize the rural emergency medical service training and equipment assistance program, and for other purposes. Mr. Speaker,…

Show 1 more
Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 2, 2023

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

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Enrolled BillPublication date not provided

One Hundred Eighteenth Congress of the United States of America

2d Session

Begun and held at the City of Washington on Wednesday, the third day of January, two thousand and twenty four

S. 265

AN ACT

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,;

(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.).

Speaker of the House of Representatives

Vice President of the United States and President of the Senate