PlainBillCongress, translated.Legislation. Context. Public interest.Congressional Research Service
Version 49 · Public Law · Sep 26, 2024
Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act
This act 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.
People & committees
Sen. Durbin, Richard J. [D-IL] · D–IL
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Became Public Law No: 118-84.
Became Public Law No: 118-84.
Signed by President.
Signed by President.
Presented to President.
Presented to President.
Motion to reconsider laid on the table Agreed to without objection.
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5306)
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5306)
DEBATE - The House proceeded with forty minutes of debate on S. 265.
Considered under suspension of the rules. (consideration: CR H5306)
Mrs. Rodgers (WA) moved to suspend the rules and pass the bill.
Held at the desk.
Received in the House.
Message on Senate action sent to the House.
Passed Senate with an amendment by Unanimous Consent. (consideration: CR S5966-5967; text: CR S5966)
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.(consideration: CR S5966-5967; text: CR S5966)
Placed on Senate Legislative Calendar under General Orders. Calendar No. 173.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text: CR S236)
Introduced in Senate
Primary sources
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Source last updated: Jan 9, 2026. Consult Congress.gov for the current record.
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Analyze S.265 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine S.265 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
Examine S.265 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
Examine S.265 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.