,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #edbi  ,,in ,,the ,,house ,,of  
,,representatives  ,april #e1 #bjah,mr4 
,gianforte 7for himself1 ,mr4 ,loebsack1
 and ,mr4 ,duffy7 introduced the        
following bill2 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 #ccj;,j of the ,public ,health  
,service ,act4  #a4 ,short title ,this  
,act may be cited as the ,supporting and
 ,improving ,rural ,,ems ,needs ,act of 
#bjah or the ,,siren ,act of #bjah4  #b4
 ,reauthorization of rural emergency    
medical services training and equipment 
assistance program ,section #ccj;,j of  
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bed;c-#ae7 is amended--  7#a7
 in subsection 7a71 by striking in rural
 areas and inserting in rural areas or  
to residents of rural areas2 and  7#b7  
by striking subsections 7b7 through 7g7 
and inserting the following3  7b7       

,eligibility ,to be eligible to receive 
grant under this section1 an entity     
shall be-- 7#a7 an emergency medical    
services agency operated by a local or  
tribal government 7including fire-based 
and non-fire based72 or  7#b7 an        
emergency medical services agency that  
is described in section #eja7;c7 of the 
,internal ,revenue ,code of #aihf and   
exempt from tax under section #eja7;a7  
of such ,code4  7c7 ,use of funds ,an   
entity shall use amounts received       
through a grant under subsection 7a7    
to-- 7#a7 recruit emergency medical     
services personnel2  7#b7 train         
emergency medical services personnel as 
appropriate to maintain licenses and    
certifications relevant to service in an
 emergency medical services agency      
described in subsection 7b72  7#c7      
conduct courses that qualify graduates  
to serve in an emergency medical        
services agency described in subsection 
7b7 in accordance with ,state and local 
requirements2  7#d7 fund specific       

training to meet ,federal or ,state     
licensing or certification requirements2
  7#e7 develop new ways to educate      
emergency health care providers through 
the use of technology-enhanced          
educational methods2  7#f7 acquire      
emergency medical services equipment2   
and  7#g7 acquire personal protective   
equipment for emergency medical services
 personnel as required by the           
,occupational ,safety and ,health       
,administration4  7d7 ,definitions ,in  
this section3 7#a7 ,the term emergency  
medical services--  7,a7 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 patient2 
and  7,b7 includes services delivered   
7either on a compensated or volunteer   
basis7 by an emergency medical services 
provider or other provider that is      
licensed or certified by the ,state     
involved as an emergency medical        

technician1 a paramedic1 or an          
equivalent professional 7as determined  
by the ,state74  7#b7 ,the term rural   
area means-- 7,a7 a nonmetropolitan     
statistical area2  7,b7 an area         
designated as a rural area by any law or
 regulation of a ,state2 or  7,c7 a     
rural census tract of a metropolitan    
statistical area 7as determined under   
the most recent ,goldsmith              
,modification1 originally published in a
 notice of availability of funds in the 
,federal ,register on ,february #bg1    
#aiib1 #eg ,fed4 ,reg4 #fgbe74  7e7     
,authorization of appropriations  7#a7  
,in general ,there are authorized to be 
appropriated to carry out this section  
#aj1jjj1jjj for each fiscal years #bjah 
through #bjbb4  7#b7 ,administrative    
costs ,the ,secretary may use not more  
than #aj percent of the amount          
appropriated pursuant to paragraph 7#a7 
for a fiscal year for the administrative
 expenses of carrying out this section4 
4