1. Short title This Act may be cited as the Supporting and Improving Rural EMS Needs Act of 2018 or the SIREN Act of 2018 . 2. Reauthorization of rural emergency medical services training and equipment assistance program Section 330J of the Public Health Service Act ( 42 U.S.C. 254c–15 ) is amended— (1) in subsection (a), by striking in rural areas and inserting in rural areas or to residents of rural areas ; and (2) by striking subsections (b) through (g) and inserting the following: (b) Eligibility; application To be eligible to receive grant under this section, an entity shall— (1) be— (A) an emergency medical services agency operated by a local or tribal government (including fire-based and non-fire based); or (B) an emergency medical services agency that is described in section 501(c) of the Internal Revenue Code of 1986 and exempt from tax under section 501(a) of such Code; and (2) submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (c) Use of funds An entity shall use amounts received through a grant under subsection (a) to— (1) recruit and retain emergency medical services personnel, which may include volunteer personnel; (2) train emergency medical services personnel as appropriate to obtain and maintain licenses and certifications relevant to service in an emergency medical services agency described in subsection (b)(1); (3) conduct courses that qualify graduates to serve in an emergency medical services agency described in subsection (b)(1) in accordance with State and local requirements; (4) fund specific training to meet Federal or State licensing or certification requirements; (5) develop new ways to educate emergency health care providers through the use of technology-enhanced educational methods; (6) acquire emergency medical services equipment