1. Short title This Act may be cited as the Supporting and Improving Rural EMS Needs Reauthorization Act or the SIREN Reauthorization Act . 2. Rural emergency medical service 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 the Administrator of the Health Resources and Services Administration (referred to in this section as the Secretary ) and inserting the Assistant Secretary, ; (2) in subsection (c)— (A) in paragraph (1)— (i) in subparagraph (C), by striking ; and and inserting a semicolon; and (ii) by adding at the end the following: (E) ensure emergency medical services personnel are trained on mental health and substance use disorders and care for individuals with such disorders in emergency situations; and ; and (B) in paragraph (2)— (i) in subparagraph (B), by striking ; or and inserting a semicolon; (ii) in subparagraph (C), by striking the period and inserting ; or ; and (iii) by adding at the end the following: (D) acquire drugs or devices approved, cleared, or otherwise legally marketed under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected overdose. ; (3) by striking subsection (f); (4) by redesignating subsection (g) as subsection (f); (5) in subsection (f)(1), as so redesignated, by striking 2019 through 2023 and inserting 2024 through 2028 ; (6) by redesignating such section 330J as section 553 of the Public Health Service Act; and (7) by transferring such section 553, as so redesignated, to appear at the end of part D of title V of the Public Health Service Act ( 42 U.S.C. 290dd et seq. ).