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    <number>265</number>
    <updateDate>2026-01-09T23:26:15Z</updateDate>
    <updateDateIncludingText>2026-01-09T23:26:15Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2023-02-02</introducedDate>
    <congress>118</congress>
    <legislationUrl>https://www.congress.gov/bill/118th-congress/senate-bill/265</legislationUrl>
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        <name>Health, Education, Labor, and Pensions Committee</name>
        <chamber>Senate</chamber>
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            <name>Reported By</name>
            <date>2023-07-26T21:20:28Z</date>
          </item>
          <item>
            <name>Markup By</name>
            <date>2023-06-15T14:51:54Z</date>
          </item>
          <item>
            <name>Referred To</name>
            <date>2023-02-02T20:30:44Z</date>
          </item>
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    <relatedBills>
      <item>
        <title>SIREN Reauthorization Act</title>
        <congress>118</congress>
        <number>4646</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2024-05-31</actionDate>
          <text>Placed on the Union Calendar, Calendar No. 443.</text>
        </latestAction>
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          <item>
            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
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    <actions>
      <item>
        <actionDate>2024-09-26</actionDate>
        <text>Became Public Law No: 118-84.</text>
        <type>President</type>
        <actionCode>E40000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2024-09-26</actionDate>
        <text>Became Public Law No: 118-84.</text>
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          <name>Library of Congress</name>
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      <item>
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        <text>Signed by President.</text>
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          <name>Library of Congress</name>
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      <item>
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        <text>Signed by President.</text>
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          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2024-09-24</actionDate>
        <text>Presented to President.</text>
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          <code>2</code>
          <name>House floor actions</name>
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      <item>
        <actionDate>2024-09-24</actionDate>
        <text>Presented to President.</text>
        <type>President</type>
        <actionCode>28000</actionCode>
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          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2024-09-17</actionDate>
        <actionTime>20:59:16</actionTime>
        <text>Motion to reconsider laid on the table Agreed to without objection.</text>
        <type>Floor</type>
        <actionCode>H38310</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2024-09-17</actionDate>
        <actionTime>20:59:14</actionTime>
        <text>On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5306)</text>
        <type>Floor</type>
        <actionCode>H37300</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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      </item>
      <item>
        <actionDate>2024-09-17</actionDate>
        <actionTime>20:59:14</actionTime>
        <text>Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5306)</text>
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        <actionCode>8000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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      </item>
      <item>
        <actionDate>2024-09-17</actionDate>
        <actionTime>20:55:10</actionTime>
        <text>DEBATE - The House proceeded with forty minutes of debate on S. 265.</text>
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        <actionCode>H8D000</actionCode>
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          <code>2</code>
          <name>House floor actions</name>
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      <item>
        <actionDate>2024-09-17</actionDate>
        <actionTime>20:55:05</actionTime>
        <text>Considered under suspension of the rules. (consideration: CR H5306)</text>
        <type>Floor</type>
        <actionCode>H30000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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      </item>
      <item>
        <actionDate>2024-09-17</actionDate>
        <actionTime>20:55:01</actionTime>
        <text>Mrs. Rodgers (WA) moved to suspend the rules and pass the bill.</text>
        <type>Floor</type>
        <actionCode>H30300</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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      </item>
      <item>
        <actionDate>2023-12-15</actionDate>
        <actionTime>10:05:02</actionTime>
        <text>Held at the desk.</text>
        <type>Floor</type>
        <actionCode>H15000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2023-12-15</actionDate>
        <actionTime>10:05:01</actionTime>
        <text>Received in the House.</text>
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        <actionCode>H14000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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      </item>
      <item>
        <actionDate>2023-12-14</actionDate>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Message on Senate action sent to the House.</text>
        <type>Floor</type>
      </item>
      <item>
        <actionDate>2023-12-13</actionDate>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Passed Senate with an amendment by Unanimous Consent. (consideration: CR S5966-5967; text: CR S5966)</text>
        <type>Floor</type>
      </item>
      <item>
        <actionDate>2023-12-13</actionDate>
        <text>Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.(consideration: CR S5966-5967; text: CR S5966)</text>
        <type>Floor</type>
        <actionCode>17000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2023-07-26</actionDate>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Placed on Senate Legislative Calendar under General Orders. Calendar No. 173.</text>
        <type>Calendars</type>
      </item>
      <item>
        <actionDate>2023-07-26</actionDate>
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          <item>
            <systemCode>sshr00</systemCode>
            <name>Health, Education, Labor, and Pensions Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2023-07-26</actionDate>
        <text>Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.</text>
        <type>Committee</type>
        <actionCode>14000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>sshr00</systemCode>
            <name>Health, Education, Labor, and Pensions Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2023-06-15</actionDate>
        <committees>
          <item>
            <systemCode>sshr00</systemCode>
            <name>Health, Education, Labor, and Pensions Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2023-02-02</actionDate>
        <committees>
          <item>
            <systemCode>sshr00</systemCode>
            <name>Health, Education, Labor, and Pensions Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text: CR S236)</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2023-02-02</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    </actions>
    <sponsors>
      <item>
        <bioguideId>D000563</bioguideId>
        <fullName>Sen. Durbin, Richard J. [D-IL]</fullName>
        <firstName>Richard</firstName>
        <lastName>Durbin</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>J.</middleName>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>C001035</bioguideId>
        <fullName>Sen. Collins, Susan M. [R-ME]</fullName>
        <firstName>Susan</firstName>
        <lastName>Collins</lastName>
        <party>R</party>
        <state>ME</state>
        <middleName>M.</middleName>
        <sponsorshipDate>2023-02-02</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000464</bioguideId>
        <fullName>Sen. Tester, Jon [D-MT]</fullName>
        <firstName>Jon</firstName>
        <lastName>Tester</lastName>
        <party>D</party>
        <state>MT</state>
        <sponsorshipDate>2023-05-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001153</bioguideId>
        <fullName>Sen. Murkowski, Lisa [R-AK]</fullName>
        <firstName>Lisa</firstName>
        <lastName>Murkowski</lastName>
        <party>R</party>
        <state>AK</state>
        <sponsorshipDate>2023-06-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000555</bioguideId>
        <fullName>Sen. Gillibrand, Kirsten E. [D-NY]</fullName>
        <firstName>Kirsten</firstName>
        <lastName>Gillibrand</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>E.</middleName>
        <sponsorshipDate>2023-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001243</bioguideId>
        <fullName>Sen. Blackburn, Marsha [R-TN]</fullName>
        <firstName>Marsha</firstName>
        <lastName>Blackburn</lastName>
        <party>R</party>
        <state>TN</state>
        <sponsorshipDate>2023-09-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001096</bioguideId>
        <fullName>Sen. Cramer, Kevin [R-ND]</fullName>
        <firstName>Kevin</firstName>
        <lastName>Cramer</lastName>
        <party>R</party>
        <state>ND</state>
        <sponsorshipDate>2023-09-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000273</bioguideId>
        <fullName>Sen. Hickenlooper, John W. [D-CO]</fullName>
        <firstName>John</firstName>
        <lastName>Hickenlooper</lastName>
        <party>D</party>
        <state>CO</state>
        <middleName>W.</middleName>
        <sponsorshipDate>2023-09-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000601</bioguideId>
        <fullName>Sen. Hagerty, Bill [R-TN]</fullName>
        <firstName>Bill</firstName>
        <lastName>Hagerty</lastName>
        <party>R</party>
        <state>TN</state>
        <sponsorshipDate>2023-10-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000367</bioguideId>
        <fullName>Sen. Klobuchar, Amy [D-MN]</fullName>
        <firstName>Amy</firstName>
        <lastName>Klobuchar</lastName>
        <party>D</party>
        <state>MN</state>
        <sponsorshipDate>2024-07-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000944</bioguideId>
        <fullName>Sen. Brown, Sherrod [D-OH]</fullName>
        <firstName>Sherrod</firstName>
        <lastName>Brown</lastName>
        <party>D</party>
        <state>OH</state>
        <sponsorshipDate>2024-09-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <cboCostEstimates>
      <item>
        <pubDate>2023-12-19T20:54:00Z</pubDate>
        <title>S. 265, SIREN Reauthorization Act</title>
        <url>https://www.cbo.gov/publication/59845</url>
        <description>As reported by the Senate Committee on Health, Education, Labor, and Pensions on July 26, 2023</description>
      </item>
    </cboCostEstimates>
    <laws>
      <item>
        <type>Public Law</type>
        <number>118-84</number>
      </item>
    </laws>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Drug, alcohol, tobacco use</name>
          <updateDate>2023-05-11T15:31:05Z</updateDate>
        </item>
        <item>
          <name>Emergency medical services and trauma care</name>
          <updateDate>2023-05-11T15:31:05Z</updateDate>
        </item>
        <item>
          <name>First responders and emergency personnel</name>
          <updateDate>2023-05-11T15:31:05Z</updateDate>
        </item>
        <item>
          <name>Medical education</name>
          <updateDate>2023-05-11T15:31:05Z</updateDate>
        </item>
        <item>
          <name>Mental health</name>
          <updateDate>2023-05-11T15:31:05Z</updateDate>
        </item>
        <item>
          <name>Rural conditions and development</name>
          <updateDate>2023-05-11T15:31:05Z</updateDate>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
        <updateDate>2023-03-07T21:00:24Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2023-02-02</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2023-04-13T15:34:41Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill reauthorizes through FY2028 and otherwise modifies a grant program for improving emergency medical services (EMS) in rural areas. The modifications include requiring the use of grant funds to train EMS personnel on caring for individuals with mental health and substance use disorders in emergency situations and permitting the use of grant funds to acquire overdose reversal drugs and devices.&lt;/p&gt;</text>
        </cdata>
      </summary>
      <summary>
        <versionCode>25</versionCode>
        <actionDate>2023-07-26</actionDate>
        <actionDesc>Reported to Senate</actionDesc>
        <updateDate>2024-01-26T16:47:07Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill reauthorizes through FY2028 and otherwise modifies a grant program for improving emergency medical services (EMS) in rural areas. The modifications include requiring the use of grant funds to train EMS personnel on caring for individuals with mental health and substance use disorders in emergency situations and permitting the use of grant funds to acquire overdose reversal drugs and devices.&lt;/p&gt;</text>
        </cdata>
      </summary>
      <summary>
        <versionCode>55</versionCode>
        <actionDate>2023-12-13</actionDate>
        <actionDesc>Passed Senate</actionDesc>
        <updateDate>2024-01-26T16:49:30Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill reauthorizes through FY2028 and otherwise modifies a grant program for improving emergency medical services (EMS) in rural areas. The modifications include requiring the use of grant funds to train EMS personnel on caring for individuals with mental health and substance use disorders in emergency situations and permitting the use of grant funds to acquire overdose reversal drugs and devices.&lt;/p&gt;</text>
        </cdata>
      </summary>
      <summary>
        <versionCode>49</versionCode>
        <actionDate>2024-09-26</actionDate>
        <actionDesc>Public Law</actionDesc>
        <updateDate>2024-11-19T19:19:36Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;strong&gt;Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;This act&amp;nbsp;reauthorizes through FY2028 and otherwise modifies a grant program for improving emergency medical services (EMS) in rural areas. The modifications include requiring the use of grant funds to train EMS personnel on caring for individuals with mental health and substance use disorders in emergency situations and permitting the use of grant funds to acquire overdose reversal drugs and devices.&lt;/p&gt;</text>
        </cdata>
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    </summaries>
    <title>SIREN Reauthorization Act</title>
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        <title>Supporting and Improving Rural EMS Needs Reauthorization Act</title>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-118s265enr/xml/BILLS-118s265enr.xml</url>
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        <date>2023-12-13T05:00:00Z</date>
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      </item>
      <item>
        <date>2024-09-27T03:59:59Z</date>
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      <text>Became Public Law No: 118-84.</text>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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