,,ii ,calendar ,no4 #agc #aahth         
,,congress  #ast ,session  ,s4 #bfe     
,,in ,,the ,,senate ,,of ,,the ,,united 
,,states  ,february #b1 #bjbc,mr4       
,durbin 7for himself1 ,ms4 ,collins1    
,mr4 ,tester1 and ,ms4 ,murkowski7      
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,july #bf1       
#bjbc,reported by ,mr4 ,sanders1 with an
 amendment,strike out all after the     
enacting clause and insert the part     
printed in italic  ,a ,,bill  ,to       
reauthorize the rural emergency medical 
service training and equipment          
assistance program1 and for other       
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,supporting and     
,improving ,rural ,,ems ,needs          
,reauthorization ,act or the ,,siren    
,reauthorization ,act4  #b4 ,rural      
emergency medical service 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 the ,administrator of the      
,health ,resources and ,services        
,administration 7referred to in this    
section as the ,secretary7 and inserting
 the ,assistant ,secretary for ,mental  
,health and ,substance ,use12  7#b7 in  
subsection 7c7-- 7,a7 in paragraph      
7#a7-- 7i7 in subparagraph 7,c71 by     
striking 2 and and inserting a          
semicolon2 and  7ii7 by adding at the   
end the following3  7,e7 ensure         
emergency medical services personnel are
 trained on mental health and substance 
use disorders and care for individuals  
with such disorders in emergency        
situations2 and  2 and  7,b7 in         
paragraph 7#b7-- 7i7 in subparagraph    
7,b71 by striking 2 or and inserting a  
semicolon2  7ii7 in subparagraph 7,c71  
by striking the period and inserting 2  
or2 and  7iii7 by adding at the end the 
following3  7,d7 acquire overdose       
reversal drugs and devices4  2  7#c7 by 

striking subsection 7f72  7#d7 by       
redesignating subsection 7g7 as         
subsection 7f72 and  7#e7 in subsection 
7f77#a71 as so redesignated1 by striking
 #bjai through #bjbc and inserting #bjbd
 through #bjbh4  #a4 ,short title ,this 
,act may be cited as the ,supporting and
 ,improving ,rural ,,ems ,needs         
,reauthorization ,act or the ,,siren    
,reauthorization ,act4  #b4 ,rural      
emergency medical service 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 the ,administrator of the      
,health ,resources and ,services        
,administration 7referred to in this    
section as the ,secretary7 and inserting
 the ,assistant ,secretary12  7#b7 in   
subsection 7c7-- 7,a7 in paragraph      
7#a7-- 7i7 in subparagraph 7,c71 by     
striking 2 and and inserting a          
semicolon2 and  7ii7 by adding at the   
end the following3  7,e7 ensure         

emergency medical services personnel are
 trained on mental health and substance 
use disorders and care for individuals  
with such disorders in emergency        
situations2 and  2 and  7,b7 in         
paragraph 7#b7-- 7i7 in subparagraph    
7,b71 by striking 2 or and inserting a  
semicolon2  7ii7 in subparagraph 7,c71  
by striking the period and inserting 2  
or2 and  7iii7 by adding at the end the 
following3  7,d7 acquire drugs or       
devices approved1 cleared1 or otherwise 
legally marketed under the ,federal     
,food1 ,drug1 and ,cosmetic ,act for    
emergency treatment of known or         
suspected overdose4  2  7#c7 by striking
 subsection 7f72  7#d7 by redesignating 
subsection 7g7 as subsection 7f72  7#e7 
in subsection 7f77#a71 as so            
redesignated1 by striking #bjai through 
#bjbc and inserting #bjbd through #bjbh2
  7#f7 by redesignating such section    
#ccj;,j as section #eec of the ,public  
,health ,service ,act2 and  7#g7 by     
transferring such section #eec1 as so   

redesignated1 to appear at the end of   
part ,d of title ,v of the ,public      
,health ,service ,act 7#db ,u4,s4,c4    
#bij;dd et seq474  ,july #bf1           
#bjbc,reported with an amendment