# 118-s-265: SIREN Reauthorization Act

118-s-265, SIREN Reauthorization Act, is a 118th Congress bill sponsored by Sen. Durbin, Richard J. [D-IL] (D-IL); status became_law; PRIA reads it as touching household money (as of 2026-01-05).

- Canonical: https://policyrisk.com/legislation/118-s-265
- As of: 2026-01-05
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 118-s-265
- Congress: 118
- Title: SIREN Reauthorization Act
- Status: became_law
- Introduced: 2023-02-02
- Sponsor: Sen. Durbin, Richard J. [D-IL] (D-IL)
- Cosponsors: 10
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-01-05

## Summary

**Reauthorizes and expands the Rural Emergency Medical Service Training and Equipment Assistance Program.** This law moves program administration to the Assistant Secretary, extends authorization to 2024 through 2028, adds required EMS training on mental health and substance use disorders, and allows purchase of certain drugs or devices for emergency overdose treatment. - Rural EMS personnel will receive new training on mental health and substance use disorders so they can provide appropriate care during emergencies. - People facing overdoses will benefit because programs can acquire drugs or devices that are approved, cleared, or otherwise legally marketed under the Federal Food, Drug, and Cosmetic Act for emergency overdose treatment. - Rural communities and EMS systems gain continued program support through 2024–2028, plus a statutory relocation and an administrative shift to the Assistant Secretary within the Public Health Service Act.

## Cosponsors (10)

- Sen. Collins, Susan M. [R-ME] (R-ME), 2023-02-02T00:00:00.000Z
- Sen. Tester, Jon [D-MT] (D-MT), 2023-05-10T00:00:00.000Z
- Sen. Murkowski, Lisa [R-AK] (R-AK), 2023-06-13T00:00:00.000Z
- Sen. Gillibrand, Kirsten E. [D-NY] (D-NY), 2023-09-07T00:00:00.000Z
- Sen. Blackburn, Marsha [R-TN] (R-TN), 2023-09-20T00:00:00.000Z
- Sen. Cramer, Kevin [R-ND] (R-ND), 2023-09-21T00:00:00.000Z
- Sen. Hickenlooper, John W. [D-CO] (D-CO), 2023-09-28T00:00:00.000Z
- Sen. Hagerty, Bill [R-TN] (R-TN), 2023-10-03T00:00:00.000Z
- Sen. Klobuchar, Amy [D-MN] (D-MN), 2024-07-08T00:00:00.000Z
- Sen. Brown, Sherrod [D-OH] (D-OH), 2024-09-17T00:00:00.000Z

## Provisions PRIA read

- More help for rural emergency medical services: benefit, medium. The law renews the Rural EMS Training and Equipment Assistance Program for 2024 through 2028. Rural EMS providers can get grants for training and gear. Grants can buy drugs or devices approved or cleared by the FDA to treat known or suspected overdoses. EMS staff trained under the program must lear…

## Related bills

- 118-s-4367: Thomas R. Carper Water Resources Development Act of 2024
- 118-sres-925: A resolution relating to the death of the Honorable Fred R. Harris, former Senator for the State of Oklahoma.
- 118-sres-902: A resolution relating to the death of Timothy Peter Johnson, former Senator for the State of South Dakota.
- 118-sres-888: A resolution honoring the life of James Ralph Sasser, former Senator for the State of Tennessee.
- 118-sres-765: A resolution relating to the death of the Honorable James Mountain Inhofe, former Senator for the State of Oklahoma.
- 118-sres-673: A resolution honoring the life of David Hampton Pryor, former United States Senator for the State of Arkansas.

## Sources
- [118-s-265 on Congress.gov](https://www.congress.gov/bill/118th-congress/senate-bill/265)

## Related
- [118-s-4367: Thomas R. Carper Water Resources Development Act of 2024](https://policyrisk.com/legislation/118-s-4367)
- [118-sres-925: A resolution relating to the death of the Honorable Fred R. Harris, former Sena…](https://policyrisk.com/legislation/118-sres-925)
- [118-sres-902: A resolution relating to the death of Timothy Peter Johnson, former Senator for…](https://policyrisk.com/legislation/118-sres-902)
- [118-sres-888: A resolution honoring the life of James Ralph Sasser, former Senator for the St…](https://policyrisk.com/legislation/118-sres-888)
- [118-sres-765: A resolution relating to the death of the Honorable James Mountain Inhofe, form…](https://policyrisk.com/legislation/118-sres-765)
- [118-sres-673: A resolution honoring the life of David Hampton Pryor, former United States Sen…](https://policyrisk.com/legislation/118-sres-673)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/118-s-265 (as of 2026-01-05).