What This Bill Does · Plain English
Summary · Congress.gov
Improving Care in Rural America Reauthorization Act of 2025 This bill reauthorizes through FY2030 grant programs administered by the Health Resources and Services Administration (HRSA) that provide funding to health care service providers and related entities in rural areas. Specifically, the bill reauthorizes grants for expanding the delivery of health care services in rural areas, developing integrated health care networks (i.e., collaborative groups of local health care organizations) in rural areas, and improving the quality of services provided by small health care providers in rural areas. Also, the bill requires HRSA to ensure that grant funds for expanding services or developing health care networks are used to (1) meet the health care needs of underserved populations, and (2) engage such populations in the planning and implementation of related activities.
Vote Breakdown · How Congress voted on HR.2493
House
406-4
PASSED
Democrats
206 yea
0 nay
Republicans
198 yea
4 nay
Independents
2 yea
0 nay
⚠️ 4 members broke with party on this vote
Action Timeline
2026-04-22
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
2026-04-21
Considered as unfinished business. (text: CR H3025)
2026-04-21
Motion to reconsider laid on the table Agreed to without objection.
2026-04-21
On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 406 - 4 (Roll no. 128). (text: CR H3021-3022)
2026-04-21
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 406 - 4 (Roll no. 128). (text: CR H3021-3022)
2026-04-21
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
2026-04-21
DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
2026-04-21
Considered under suspension of the rules. (consideration: CR H3021-3023)
2026-04-21
Mrs. Harshbarger moved to suspend the rules and pass the bill.
2025-10-03
Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
Frequently Asked Questions
Did HR.2493 pass?
HR.2493 is still alive. Current stage: PASSED_ONE. Pass likelihood: 55%.
What does HR.2493 do?
Improving Care in Rural America Reauthorization Act of 2025 This bill reauthorizes through FY2030 grant programs administered by the Health Resources and Services Administration (HRSA) that provide funding to health care service providers and related entities in rural areas. Specifically, the bill reauthorizes grants for expanding the delivery of health care services in rural areas, developing integrated health care networks (i.e., collaborative groups of local health care organizations) in rural areas, and improving the quality of services provided by small health care providers in rural area…
Who sponsored HR.2493?
HR.2493 was sponsored by Earl L. "Buddy" Carter (R-Georgia).
Who voted against HR.2493?
4 members broke with their party on this vote. Notably, Josh Brecheen (R) voted nay.
Full Bill Text
119 HR 2493 EH: Improving Care in Rural America Reauthorization Act of 2025 U.S. House of Representatives text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IB 119th CONGRESS 2d Session H. R. 2493 IN THE HOUSE OF REPRESENTATIVES AN ACT To reauthorize certain programs regarding rural health care. 1. Short title This Act may be cited as the Improving Care in Rural America Reauthorization Act of 2025 . 2. Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs (a) Rural health care services outreach grants Section 330A(e) of the Public Health Service Act ( 42 U.S.C. 254c(e) ) is amended by adding at the end the following: (4) Use of funds for rural underserved populations In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used, as appropriate— (A) to meet the health care needs of rural underserved populations in the local community or region to be served; and (B) for other activities to ensure the rural underserved populations in the local community or region to be served will be involved in the development and ongoing operations of the project. . (b) Rural health network development grants Section 330A(f) of the Public Health Service Act ( 42 U.S.C. 254c(f) ) is amended by adding at the end the following: (4) Use of funds for rural underserved populations In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used, as appropriate— (A) to increase access to quality health care services through integrated health care networks for the rural underserved populations in the local community or region to be served; and (B) for other activities to ensure the rural underserved populations in the local community or region to be served will benefit from and be involved in the planning, development, and ongoing implementation of the network. . (c) Reauthorization Section 330A(j) of the Public Health Service Act ( 42 U.S.C. 254c(j) ) is amended by striking 2021 through 2025 and inserting 2026 through 2030 . Passed the House of Representatives April 21, 2026. Kevin F. McCumber, Clerk.
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