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 To be eligible to receive grant under this section, an entity shall be— (1) an emergency medical services agency operated by a local or tribal government (including fire-based and non-fire based); or (2) 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. (c) Use of funds An entity shall use amounts received through a grant under subsection (a) to— (1) recruit emergency medical services personnel; (2) train emergency medical services personnel as appropriate to maintain licenses and certifications relevant to service in an emergency medical services agency described in subsection (b); (3) conduct courses that qualify graduates to serve in an emergency medical services agency described in subsection (b) 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