As reported by the House Committee on Energy and Commerce on May 31, 2024
By Fiscal Year, Millions of Dollars
2024
2024-2029
2024-2034
Direct Spending (Outlays)
0
0
0
Revenues
0
0
0
Increase or Decrease (-) in the Deficit
0
0
0
Spending Subject to Appropriation (Outlays)
0
51
not estimated
Increases net direct spending in any of the four consecutive 10-year periods beginning in 2035?
No
Statutory pay-as-you-go procedures apply?
No
Mandate Effects
Increases on-budget deficits in any of the four consecutive 10-year periods beginning in 2035?
No
Contains intergovernmental mandate?
No
Contains private-sector mandate?
No
Summary
H.R. 4646 would reauthorize the rural emergency medical service training and equipment assistance program from 2025 through 2029; $12 million was appropriated for that program in 2024. The program awards grants to rural communities for training emergency medical service personnel, and it provides assistance for equipment purchases. The bill would require grant recipients to provide training for mental health and substance use disorder emergencies.