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H.R. 2493Passed House

Improving Care in Rural America Reauthorization Act of 2025

Introduced: Mar 31, 2025

Latest action date: Apr 22, 2026

Latest development

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

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Congress
119th Congress
Introduced
Mar 31, 2025
Recorded roll calls
1

Status detail: The full action history records passage in the House.

Plain-language overview

What this bill does

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. 

Official summary from Congress.gov.

Civixly topics

What this legislation is about

Civixly topics make federal and state legislation comparable. They are derived from the official CRS policy area and legislative subjects.

Official CRS policy area

Health

View 3 official legislative subjects
Health care coverage and accessHealth programs administration and fundingRural conditions and development

Committee activity

Committees and subcommittees that received, reviewed, marked up, or reported this legislation.

Amendments

Proposed changes to this measure, with their latest official outcome or action from Congress.gov.

No amendments are listed for this measure.

Checked against Congress.gov Oct 17, 2026.

Action timeline

Newest action first. Action language comes from the official Congress.gov record.

View full action timeline20 actions
  1. Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

    CalendarsSenate
  2. Motion to reconsider laid on the table Agreed to without objection.

    FloorHouse floor actions
  3. 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)

    FloorHouse floor actions
  4. 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)

    FloorLibrary of Congress
  5. Considered as unfinished business. (text: CR H3025)

    FloorHouse floor actions
  6. 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.

    FloorHouse floor actions
  7. DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.

    FloorHouse floor actions
  8. Considered under suspension of the rules. (consideration: CR H3021-3023)

    FloorHouse floor actions
  9. Mrs. Harshbarger moved to suspend the rules and pass the bill.

    FloorHouse floor actions
  10. Reported by the Committee on Energy and Commerce. H. Rept. 119-325.

    CommitteeHouse floor actions
  11. Reported by the Committee on Energy and Commerce. H. Rept. 119-325.

    CommitteeLibrary of Congress
  12. Placed on the Union Calendar, Calendar No. 278.

    CalendarsHouse floor actions
  13. Ordered to be Reported by the Yeas and Nays: 49 - 0.

    CommitteeHouse committee actions
  14. Committee Consideration and Mark-up Session Held

    CommitteeHouse committee actions
  15. Forwarded by Subcommittee to Full Committee by Voice Vote.

    CommitteeHouse committee actions
  16. Referred to the Subcommittee on Health.

    CommitteeHouse committee actions
  17. Subcommittee Consideration and Mark-up Session Held

    CommitteeHouse committee actions
  18. Referred to the House Committee on Energy and Commerce.

    IntroReferralHouse floor actions
  19. Introduced in House

    IntroReferralLibrary of Congress
  20. Introduced in House

    IntroReferralLibrary of Congress

Roll-call votes

Recorded House and Senate votes connected to this bill. Your representatives appear first when available.

PassedApr 21, 2026House · Roll call 128

On Motion to Suspend the Rules and Pass

406 Yea20 Not Voting4 Nay
View 430 recorded positions
Andy BiggsNot Voting
Ben ClineNot Voting
Dan CrenshawNot Voting
Dan NewhouseNot Voting
David ScottYea
Jared F. GoldenNot Voting
Julia BrownleyNot Voting
Lizzie FletcherNot Voting
Nancy MaceNot Voting
Neal P. DunnNot Voting
Ralph NormanNot Voting

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Sources: Congress.gov and official House and Senate vote records.

View data freshness details

Base metadata check pending · Civixly summary check pending · Action timeline checked Oct 17, 2026 · Complete sponsorship check pending · Topics checked Oct 17, 2026 · Committees checked Oct 17, 2026 · Status checked Oct 17, 2026 · Related bills checked Oct 17, 2026.