diff --git a/homeassistant/components/simplepush/const.py b/homeassistant/components/simplepush/const.py
index 6195a5fd1d98cc..fd630bcbffb530 100644
--- a/homeassistant/components/simplepush/const.py
+++ b/homeassistant/components/simplepush/const.py
@@ -6,8 +6,12 @@
 DEFAULT_NAME: Final = "simplepush"
 DATA_HASS_CONFIG: Final = "simplepush_hass_config"
 
+ATTR_ACTIONS: Final = "actions"
 ATTR_ENCRYPTED: Final = "encrypted"
 ATTR_EVENT: Final = "event"
+ATTR_FEEDBACK_ACTION_TIMEOUT: Final = "feedback_action_timeout"
+
+EVENT_ACTION_TRIGGERED: Final = "simplepush_action_triggered_event"
 
 CONF_DEVICE_KEY: Final = "device_key"
 CONF_SALT: Final = "salt"
diff --git a/homeassistant/components/simplepush/notify.py b/homeassistant/components/simplepush/notify.py
index b1c2eb5680ee8b..99ef030879c0b3 100644
--- a/homeassistant/components/simplepush/notify.py
+++ b/homeassistant/components/simplepush/notify.py
@@ -4,7 +4,7 @@
 import logging
 from typing import Any
 
-from simplepush import BadRequest, UnknownError, send
+from simplepush import BadRequest, FeedbackActionTimeout, UnknownError, async_send
 
 from homeassistant.components.notify import (
     ATTR_DATA,
@@ -15,10 +15,19 @@
 )
 from homeassistant.const import CONF_EVENT, CONF_PASSWORD
 from homeassistant.core import HomeAssistant
+from homeassistant.helpers.aiohttp_client import async_get_clientsession
 from homeassistant.helpers.issue_registry import IssueSeverity, async_create_issue
 from homeassistant.helpers.typing import ConfigType, DiscoveryInfoType
 
-from .const import ATTR_EVENT, CONF_DEVICE_KEY, CONF_SALT, DOMAIN
+from .const import (
+    ATTR_ACTIONS,
+    ATTR_EVENT,
+    ATTR_FEEDBACK_ACTION_TIMEOUT,
+    CONF_DEVICE_KEY,
+    CONF_SALT,
+    DOMAIN,
+    EVENT_ACTION_TRIGGERED,
+)
 
 # Configuring Simplepush under the notify has been removed in 2022.9.0
 PLATFORM_SCHEMA = BASE_PLATFORM_SCHEMA
@@ -44,45 +53,103 @@ async def async_get_service(
         )
         return None
 
-    return SimplePushNotificationService(discovery_info)
+    return SimplePushNotificationService(hass, discovery_info)
 
 
 class SimplePushNotificationService(BaseNotificationService):
     """Implementation of the notification service for Simplepush."""
 
-    def __init__(self, config: dict[str, Any]) -> None:
+    def __init__(self, hass: HomeAssistant, config: dict[str, Any]) -> None:
         """Initialize the Simplepush notification service."""
+        self.hass = hass
+        self.session = async_get_clientsession(hass)
         self._device_key: str = config[CONF_DEVICE_KEY]
         self._event: str | None = config.get(CONF_EVENT)
         self._password: str | None = config.get(CONF_PASSWORD)
         self._salt: str | None = config.get(CONF_SALT)
 
-    def send_message(self, message: str, **kwargs: Any) -> None:
+    async def async_send_message(self, message: str, **kwargs: Any) -> None:
         """Send a message to a Simplepush user."""
         title = kwargs.get(ATTR_TITLE, ATTR_TITLE_DEFAULT)
 
+        actions = None
+        action_ids = {}
         # event can now be passed in the service data
         event = None
+        feedback_action_timeout = None
+
         if data := kwargs.get(ATTR_DATA):
             event = data.get(ATTR_EVENT)
 
+            actions_data = data.get(ATTR_ACTIONS)
+            if isinstance(actions_data, list) and actions_data:
+                actions = []
+                for action in actions_data:
+                    if "action" in action and "url" in action:
+                        actions.append({"name": action["action"], "url": action["url"]})
+                    elif "action" in action:
+                        actions.append(action["action"])
+                        if "id" in action:
+                            action_ids.update({action["action"]: action["id"]})
+
+                try:
+                    feedback_action_timeout = int(
+                        data.get(ATTR_FEEDBACK_ACTION_TIMEOUT)
+                    )
+                except (ValueError, TypeError):
+                    feedback_action_timeout = 60
+
         # use event from config until YAML config is removed
         event = event or self._event
 
+        def feedback_action_callback(
+            action_selected, action_selected_at, action_delivered_at, feedback_id
+        ):
+            payload = {
+                "action_selected": action_selected,
+                "action_selected_at": action_selected_at,
+                "action_delivered_at": action_delivered_at,
+                "feedback_id": feedback_id,
+            }
+
+            if action_selected in action_ids:
+                payload.update({"id": action_ids[action_selected]})
+
+            self.hass.bus.async_fire(EVENT_ACTION_TRIGGERED, payload)
+
         try:
             if self._password:
-                send(
-                    key=self._device_key,
-                    password=self._password,
-                    salt=self._salt,
-                    title=title,
-                    message=message,
-                    event=event,
+                self.hass.async_create_task(
+                    async_send(
+                        key=self._device_key,
+                        password=self._password,
+                        salt=self._salt,
+                        title=title,
+                        message=message,
+                        actions=actions,
+                        event=event,
+                        feedback_callback=feedback_action_callback,
+                        feedback_callback_timeout=feedback_action_timeout,
+                        aiohttp_session=self.session,
+                    )
                 )
             else:
-                send(key=self._device_key, title=title, message=message, event=event)
+                self.hass.async_create_task(
+                    async_send(
+                        key=self._device_key,
+                        title=title,
+                        message=message,
+                        actions=actions,
+                        event=event,
+                        feedback_callback=feedback_action_callback,
+                        feedback_callback_timeout=feedback_action_timeout,
+                        aiohttp_session=self.session,
+                    )
+                )
 
         except BadRequest:
             _LOGGER.error("Bad request. Title or message are too long")
         except UnknownError:
             _LOGGER.error("Failed to send the notification")
+        except FeedbackActionTimeout:
+            _LOGGER.error("Feedback action timed out")