United States · Bill · HR
H.R. 4646 (118th)
SIREN Reauthorization Act
Introduced
14 July 2023
Last action
31 May 2024 · Reported
Status
Placed on the Union Calendar, Calendar No. 443.
Sponsors
David Joyce, Rep. Dingell, Debbie [D-MI-6], Kelly Armstrong, Rep. Carey, Mike [R-OH-15], Rep. Fitzpatrick, Brian K. [R-PA-1], Dean Phillips, Rep. Miller, Carol D. [R-WV-1], Chris Pappas, Rep. Lee, Susie [D-NV-3], Mariannette Miller-Meeks, Rep. Cammack, Kat [R-FL-3], Glenn Thompson, Marie Perez, Rep. Pingree, Chellie [D-ME-1], David Trone, Jill Tokuda, Raul Ruiz, Rep. Ryan, Patrick [D-NY-18], Rep. Gottheimer, Josh [D-NJ-5], Rep. Lawler, Michael [R-NY-17], Gabe Vasquez, Del. Norton, Eleanor Holmes [D-DC-At Large], Summer Lee
Subjects
Healthcare
Source updated
9 January 2026
Summary
Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act This bill 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.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
14 July 2023
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
14 July 2023
Introduced
Introduced in House
Source: IntroReferral
14 July 2023
Introduced
Introduced in House
Source: IntroReferral
21 July 2023
Referred
Referred to the Subcommittee on Health.
Source: Committee
12 March 2024
Vote
Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 24 - 0.
Source: Committee
12 March 2024
Committee
Subcommittee Consideration and Mark-up Session Held
Source: Committee
20 March 2024
Vote
Ordered to be Reported (Amended) by the Yeas and Nays: 46 - 0.
Source: Committee
20 March 2024
Committee
Committee Consideration and Mark-up Session Held
Source: Committee
31 May 2024
Calendars
Placed on the Union Calendar, Calendar No. 443.
Source: Calendars
31 May 2024
Reported
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-532.
Source: Committee
31 May 2024
Reported
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-532.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Reported in House · 31 May 2024 · Official file
- Introduced in House · 14 July 2023 · Official file
Documents
5 official files
Reported in House (text)
Reported in House (text)
Reported in House · EN · 31 May 2024
Reported in House (PDF)
Reported in House · EN · 31 May 2024
Introduced in House (text)
Introduced in House · EN · 14 July 2023
Introduced in House (PDF)
Introduced in House · EN · 14 July 2023
Introduced in House
summary · EN · 14 July 2023
Sponsors
- David Joyce · R · Sponsor
- Rep. Dingell, Debbie [D-MI-6] · D · Sponsor
- Kelly Armstrong · R · Sponsor
- Rep. Carey, Mike [R-OH-15] · R · Sponsor
- Rep. Fitzpatrick, Brian K. [R-PA-1] · R · Sponsor
- Dean Phillips · D · Sponsor
- Rep. Miller, Carol D. [R-WV-1] · R · Sponsor
- Chris Pappas · D · Cosponsor
- Rep. Lee, Susie [D-NV-3] · D · Cosponsor
- Mariannette Miller-Meeks · R · Cosponsor
- Rep. Cammack, Kat [R-FL-3] · R · Cosponsor
- Glenn Thompson · R · Cosponsor
- Marie Perez · D · Cosponsor
- Rep. Pingree, Chellie [D-ME-1] · D · Cosponsor
- David Trone · D · Cosponsor
- Jill Tokuda · D · Cosponsor
- Raul Ruiz · D · Cosponsor
- Rep. Ryan, Patrick [D-NY-18] · D · Cosponsor
- Rep. Gottheimer, Josh [D-NJ-5] · D · Cosponsor
- Rep. Lawler, Michael [R-NY-17] · R · Cosponsor
- Gabe Vasquez · D · Cosponsor
- Del. Norton, Eleanor Holmes [D-DC-At Large] · D · Cosponsor
- Summer Lee · D · Cosponsor
- · hsif00 · Standing
Related records
- related to → SIREN Reauthorization Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/118th-congress/house-bill/4646
- Open data entity: https://api.congress.gov/v3/bill/118/hr/4646
- us · 118-hr-4646 · source updated 9 January 2026