[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4646 Reported in House (RH)]

<DOC>





                                                 Union Calendar No. 443
118th CONGRESS
  2d Session
                                H. R. 4646

                          [Report No. 118-532]

    To reauthorize the rural emergency medical service training and 
         equipment assistance program, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 14, 2023

Mr. Joyce of Ohio (for himself, Mrs. Dingell, Mr. Armstrong, Mr. Carey, 
   Mr. Fitzpatrick, Mr. Phillips, and Mrs. Miller of West Virginia) 
 introduced the following bill; which was referred to the Committee on 
                          Energy and Commerce

                              May 31, 2024

Additional sponsors: Mr. Pappas, Ms. Lee of Nevada, Mrs. Miller-Meeks, 
Mrs. Cammack, Mr. Thompson of Pennsylvania, Ms. Perez, Ms. Pingree, Mr. 
Trone, Ms. Tokuda, Mr. Ruiz, Mr. Ryan, Mr. Gottheimer, Mr. Lawler, Mr. 
            Vasquez, Ms. Norton, and Ms. Lee of Pennsylvania

                              May 31, 2024

  Reported with an amendment; committed to the Committee of the Whole 
       House on the State of the Union and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]
 [For text of introduced bill, see copy of bill as introduced on July 
                               14, 2023]


_______________________________________________________________________

                                 A BILL


 
    To reauthorize the rural emergency medical service training and 
         equipment assistance program, and for other purposes.


 


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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Supporting and Improving Rural EMS 
Needs Reauthorization Act'' or the ``SIREN Reauthorization Act''.

SEC. 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 ``2025 through 2029'';
            (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.).
                                                 Union Calendar No. 443

118th CONGRESS

  2d Session

                               H. R. 4646

                          [Report No. 118-532]

_______________________________________________________________________

                                 A BILL

    To reauthorize the rural emergency medical service training and 
         equipment assistance program, and for other purposes.

_______________________________________________________________________

                              May 31, 2024

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed