HR 2493Passed one chamberU.S. House · 119th Congress
Improving Care in Rural America Reauthorization Act of 2025
- Sponsor
- Rep. Earl Carter (R-GA-1) (R)
- Introduced
- Mar 31, 2025
- Latest action
- Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377. (Apr 22, 2026)
How every member voted
Passed House
On motion to suspend the rules and pass the bill · House · Roll call #128 · 21-Apr-2026
406
Yea
4
Nay
20
Not voting
0
Present
Democrats
207 yea · 0 nay
Republicans
198 yea · 4 nay
Independents
1 yea · 0 nay
Voted Yea (406)
- Aaron Bean (R-FL)
- Abraham Hamadeh (R-AZ)
- Adam Gray (D-CA)
- Adam Smith (D-WA)
- Addison McDowell (R-NC)
- Adelita Grijalva (D-AZ)
- Adrian Smith (R-NE)
- Adriano Espaillat (D-NY)
- Al Green (D-TX)
- Alexandria Ocasio-Cortez (D-NY)
- Alma Adams (D-NC)
- Ami Bera (D-CA)
- Analilia Mejia (D-NJ)
- André Carson (D-IN)
- Andrea Salinas (D-OR)
- Andrew Clyde (R-GA)
- Andrew Garbarino (R-NY)
- Andrew Ogles (R-TN)
- Andy Barr (R-KY)
- Andy Harris (R-MD)
- Angie Craig (D-MN)
- Ann Wagner (R-MO)
- Anna Luna (R-FL)
- April McClain Delaney (D-MD)
- Ashley Hinson (R-IA)
- August Pfluger (R-TX)
- Austin Scott (R-GA)
- Ayanna Pressley (D-MA)
- Barry Loudermilk (R-GA)
- Barry Moore (R-AL)
- Becca Balint (D-VT)
- Bennie Thompson (D-MS)
- Beth Van Duyne (R-TX)
- Betty McCollum (D-MN)
- Bill Foster (D-IL)
- Bill Huizenga (R-MI)
- Blake Moore (R-UT)
- Bonnie Watson Coleman (D-NJ)
- Brad Finstad (R-MN)
- Brad Knott (R-NC)
- Brad Sherman (D-CA)
- Bradley Schneider (D-IL)
- Brandon Gill (R-TX)
- Brendan Boyle (D-PA)
- Brett Guthrie (R-KY)
- Brian Babin (R-TX)
- Brian Fitzpatrick (R-PA)
- Brian Jack (R-GA)
- Brian Mast (R-FL)
- Brittany Pettersen (D-CO)
- Bruce Westerman (R-AR)
- Bryan Steil (R-WI)
- Burgess Owens (R-UT)
- Byron Donalds (R-FL)
- Carlos Gimenez (R-FL)
- Carol Miller (R-WV)
- Celeste Maloy (R-UT)
- Charles Fleischmann (R-TN)
- Chellie Pingree (D-ME)
- Chip Roy (R-TX)
- Chris Pappas (D-NH)
- Chrissy Houlahan (D-PA)
- Christian Menefee (D-TX)
- Christopher Deluzio (D-PA)
- Christopher Smith (R-NJ)
- Chuck Edwards (R-NC)
- Claudia Tenney (R-NY)
- Clay Fuller (R-GA)
- Clay Higgins (R-LA)
- Cleo Fields (D-LA)
- Cliff Bentz (R-OR)
- Cory Mills (R-FL)
- Craig Goldman (R-TX)
- Dale Strong (R-AL)
- Daniel Meuser (R-PA)
- Daniel Webster (R-FL)
- Danny Davis (D-IL)
- Darin LaHood (R-IL)
- Darrell Issa (R-CA)
- Darren Soto (D-FL)
- Dave Min (D-CA)
- David Joyce (R-OH)
- David Kustoff (R-TN)
- David Rouzer (R-NC)
- David Schweikert (R-AZ)
- David Scott (D-GA)
- David Taylor (R-OH)
- David Valadao (R-CA)
- Debbie Dingell (D-MI)
- Debbie Wasserman Schultz (D-FL)
- Deborah Ross (D-NC)
- Delia Ramirez (D-IL)
- Derek Schmidt (R-KS)
- Derek Tran (D-CA)
- Derrick Van Orden (R-WI)
- Diana DeGette (D-CO)
- Diana Harshbarger (R-TN)
- Dina Titus (D-NV)
- Don Bacon (R-NE)
- Donald Beyer (D-VA)
- Donald Davis (D-NC)
- Donald Norcross (D-NJ)
- Doris Matsui (D-CA)
- Dusty Johnson (R-SD)
- Dwight Evans (D-PA)
- Earl Carter (R-GA)
- Ed Case (D-HI)
- Elijah Crane (R-AZ)
- Elise Stefanik (R-NY)
- Emanuel Cleaver (D-MO)
- Emilia Sykes (D-OH)
- Emily Randall (D-WA)
- Eric Crawford (R-AR)
- Eric Sorensen (D-IL)
- Erin Houchin (R-IN)
- Eugene Vindman (D-VA)
- Frank Lucas (R-OK)
- Frank Mrvan (D-IN)
- Frank Pallone (D-NJ)
- Gabe Amo (D-RI)
- Gabe Evans (R-CO)
- Gabe Vasquez (D-NM)
- Gary Palmer (R-AL)
- George Latimer (D-NY)
- George Whitesides (D-CA)
- Gilbert Cisneros (D-CA)
- Glenn Grothman (R-WI)
- Glenn Ivey (D-MD)
- Glenn Thompson (R-PA)
- Grace Meng (D-NY)
- Greg Casar (D-TX)
- Greg Landsman (D-OH)
- Greg Stanton (D-AZ)
- Gregory Meeks (D-NY)
- Gregory Murphy (R-NC)
- Gus Bilirakis (R-FL)
- Guy Reschenthaler (R-PA)
- Gwen Moore (D-WI)
- Hakeem Jeffries (D-NY)
- Haley Stevens (D-MI)
- Harold Rogers (R-KY)
- Harriet Hageman (R-WY)
- Henry Cuellar (D-TX)
- Henry Johnson (D-GA)
- Herbert Conaway (D-NJ)
- Hillary Scholten (D-MI)
- Ilhan Omar (D-MN)
- J. Correa (D-CA)
- J. Hill (R-AR)
- Jack Bergman (R-MI)
- Jahana Hayes (D-CT)
- Jake Auchincloss (D-MA)
- Jake Ellzey (R-TX)
- James Baird (R-IN)
- James Clyburn (D-SC)
- James Comer (R-KY)
- James Himes (D-CT)
- James McGovern (D-MA)
- James Walkinshaw (D-VA)
- Jamie Raskin (D-MD)
- Janelle Bynum (D-OR)
- Jared Huffman (D-CA)
- Jared Moskowitz (D-FL)
- Jasmine Crockett (D-TX)
- Jason Crow (D-CO)
- Jason Smith (R-MO)
- Jay Obernolte (R-CA)
- Jeff Crank (R-CO)
- Jeff Hurd (R-CO)
- Jefferson Shreve (R-IN)
- Jefferson Van Drew (R-NJ)
- Jennifer McClellan (D-VA)
- Jerrold Nadler (D-NY)
- Jesús García (D-IL)
- Jill Tokuda (D-HI)
- Jim Costa (D-CA)
- Jim Jordan (R-OH)
- Jimmy Gomez (D-CA)
- Jimmy Panetta (D-CA)
- Jimmy Patronis (R-FL)
- Joaquin Castro (D-TX)
- Jodey Arrington (R-TX)
- Joe Courtney (D-CT)
- Joe Neguse (D-CO)
- Joe Wilson (R-SC)
- John Carter (R-TX)
- John Garamendi (D-CA)
- John James (R-MI)
- John Joyce (R-PA)
- John Larson (D-CT)
- John Mannion (D-NY)
- John Moolenaar (R-MI)
- John Rose (R-TN)
- John Rutherford (R-FL)
- Johnny Olszewski (D-MD)
- Jonathan Jackson (D-IL)
- Joseph Morelle (D-NY)
- Josh Gottheimer (D-NJ)
- Josh Harder (D-CA)
- Josh Riley (D-NY)
- Joyce Beatty (D-OH)
- Juan Ciscomani (R-AZ)
- Juan Vargas (D-CA)
- Judy Chu (D-CA)
- Julia Letlow (R-LA)
- Julie Fedorchak (R-ND)
- Julie Johnson (D-TX)
- Kat Cammack (R-FL)
- Katherine Clark (D-MA)
- Kathy Castor (D-FL)
- Kelly Morrison (D-MN)
- Ken Calvert (R-CA)
- Kevin Hern (R-OK)
- Kevin Kiley (I-CA)
- Kevin Mullin (D-CA)
- Kim Schrier (D-WA)
- Kristen McDonald Rivet (D-MI)
- Kweisi Mfume (D-MD)
- LaMonica McIver (D-NJ)
- Lance Gooden (R-TX)
- Lateefah Simon (D-CA)
- Laura Friedman (D-CA)
- Laura Gillen (D-NY)
- Laurel Lee (R-FL)
- Lauren Boebert (R-CO)
- Lauren Underwood (D-IL)
- Linda Sánchez (D-CA)
- Lisa McClain (R-MI)
- Lloyd Doggett (D-TX)
- Lloyd Smucker (R-PA)
- Lois Frankel (D-FL)
- Lori Trahan (D-MA)
- Lucy McBath (D-GA)
- Luz Rivas (D-CA)
- Madeleine Dean (D-PA)
- Maggie Goodlander (D-NH)
- Marc Veasey (D-TX)
- Marcy Kaptur (D-OH)
- Maria Salazar (R-FL)
- Mariannette Miller-Meeks (R-IA)
- Marie Perez (D-WA)
- Marilyn Strickland (D-WA)
- Mario Diaz-Balart (R-FL)
- Mark Alford (R-MO)
- Mark Amodei (R-NV)
- Mark DeSaulnier (D-CA)
- Mark Harris (R-NC)
- Mark Messmer (R-IN)
- Mark Pocan (D-WI)
- Mark Takano (D-CA)
- Marlin Stutzman (R-IN)
- Mary Miller (R-IL)
- Mary Scanlon (D-PA)
- Matt Van Epps (R-TN)
- Max Miller (R-OH)
- Maxine Dexter (D-OR)
- Maxine Waters (D-CA)
- Maxwell Frost (D-FL)
- Melanie Stansbury (D-NM)
- Michael Baumgartner (R-WA)
- Michael Cloud (R-TX)
- Michael Guest (R-MS)
- Michael Lawler (R-NY)
- Michael Rulli (R-OH)
- Michael Simpson (R-ID)
- Michael Turner (R-OH)
- Michelle Fischbach (R-MN)
- Mike Bost (R-IL)
- Mike Carey (R-OH)
- Mike Collins (R-GA)
- Mike Ezell (R-MS)
- Mike Flood (R-NE)
- Mike Haridopolos (R-FL)
- Mike Kelly (R-PA)
- Mike Kennedy (R-UT)
- Mike Levin (D-CA)
- Mike Quigley (D-IL)
- Mike Rogers (R-AL)
- Mike Thompson (D-CA)
- Morgan Luttrell (R-TX)
- Morgan McGarvey (D-KY)
- Nancy Pelosi (D-CA)
- Nanette Barragán (D-CA)
- Nathaniel Moran (R-TX)
- Nellie Pou (D-NJ)
- Nicholas Begich (R-AK)
- Nicholas Langworthy (R-NY)
- Nick LaLota (R-NY)
- Nicole Malliotakis (R-NY)
- Nikema Williams (D-GA)
- Nikki Budzinski (D-IL)
- Norma Torres (D-CA)
- Nydia Velázquez (D-NY)
- Pat Fallon (R-TX)
- Pat Harrigan (R-NC)
- Patrick Ryan (D-NY)
- Paul Gosar (R-AZ)
- Paul Tonko (D-NY)
- Pete Aguilar (D-CA)
- Pete Sessions (R-TX)
- Pete Stauber (R-MN)
- Pramila Jayapal (D-WA)
- Raja Krishnamoorthi (D-IL)
- Randy Feenstra (R-IA)
- Randy Fine (R-FL)
- Randy Weber (R-TX)
- Rashida Tlaib (D-MI)
- Raul Ruiz (D-CA)
- Richard Hudson (R-NC)
- Richard McCormick (R-GA)
- Richard Neal (D-MA)
- Rick Allen (R-GA)
- Rick Larsen (D-WA)
- Riley Moore (R-WV)
- Ritchie Torres (D-NY)
- Ro Khanna (D-CA)
- Robert Aderholt (R-AL)
- Robert Bresnahan (R-PA)
- Robert Garcia (D-CA)
- Robert Latta (R-OH)
- Robert Menendez (D-NJ)
- Robert Onder (R-MO)
- Robert Scott (D-VA)
- Robin Kelly (D-IL)
- Roger Williams (R-TX)
- Ron Estes (R-KS)
- Ronny Jackson (R-TX)
- Rosa DeLauro (D-CT)
- Rudy Yakym (R-IN)
- Russ Fulcher (R-ID)
- Russell Fry (R-SC)
- Ryan Mackenzie (R-PA)
- Ryan Zinke (R-MT)
- Salud Carbajal (D-CA)
- Sam Graves (R-MO)
- Sam Liccardo (D-CA)
- Sanford Bishop (D-GA)
- Sara Jacobs (D-CA)
- Sarah Elfreth (D-MD)
- Sarah McBride (D-DE)
- Scott DesJarlais (R-TN)
- Scott Fitzgerald (R-WI)
- Scott Franklin (R-FL)
- Scott Perry (R-PA)
- Scott Peters (D-CA)
- Sean Casten (D-IL)
- Seth Magaziner (D-RI)
- Seth Moulton (D-MA)
- Sharice Davids (D-KS)
- Sheri Biggs (R-SC)
- Shomari Figures (D-AL)
- Shontel Brown (D-OH)
- Shri Thanedar (D-MI)
- Steny Hoyer (D-MD)
- Stephanie Bice (R-OK)
- Stephen Lynch (D-MA)
- Steve Cohen (D-TN)
- Steve Scalise (R-LA)
- Steve Womack (R-AR)
- Steven Horsford (D-NV)
- Suhas Subramanyam (D-VA)
- Summer Lee (D-PA)
- Susie Lee (D-NV)
- Suzan DelBene (D-WA)
- Suzanne Bonamici (D-OR)
- Sydney Kamlager-Dove (D-CA)
- Sylvia Garcia (D-TX)
- Ted Lieu (D-CA)
- Teresa Leger Fernandez (D-NM)
- Terri Sewell (D-AL)
- Thomas Massie (R-KY)
- Thomas Suozzi (D-NY)
- Thomas Tiffany (R-WI)
- Tim Burchett (R-TN)
- Tim Moore (R-NC)
- Tim Walberg (R-MI)
- Timothy Kennedy (D-NY)
- Tom Barrett (R-MI)
- Tom Cole (R-OK)
- Tom Emmer (R-MN)
- Tony Wied (R-WI)
- Tracey Mann (R-KS)
- Trent Kelly (R-MS)
- Troy Balderson (R-OH)
- Troy Carter (D-LA)
- Troy Downing (R-MT)
- Troy Nehls (R-TX)
- Val Hoyle (D-OR)
- Valerie Foushee (D-NC)
- Vern Buchanan (R-FL)
- Veronica Escobar (D-TX)
- Vicente Gonzalez (D-TX)
- Victoria Spartz (R-IN)
- Vince Fong (R-CA)
- Virginia Foxx (R-NC)
- W. Steube (R-FL)
- Warren Davidson (R-OH)
- Wesley Bell (D-MO)
- Wesley Hunt (R-TX)
- William Keating (D-MA)
- William Timmons (R-SC)
- Yassamin Ansari (D-AZ)
- Young Kim (R-CA)
- Yvette Clarke (D-NY)
- Zachary Nunn (R-IA)
- Zoe Lofgren (D-CA)
Voted Nay (4)
- Eric Burlison (R-MO)
- Josh Brecheen (R-OK)
- Keith Self (R-TX)
- Tom McClintock (R-CA)
Did not vote (20)
- Andy Biggs (R-AZ)
- Ben Cline (R-VA)
- Dan Crenshaw (R-TX)
- Dan Newhouse (R-WA)
- Daniel Goldman (D-NY)
- Frederica Wilson (D-FL)
- H. Griffith (R-VA)
- Janice Schakowsky (D-IL)
- Jared Golden (D-ME)
- Jennifer Kiggans (R-VA)
- John McGuire (R-VA)
- Julia Brownley (D-CA)
- Lizzie Fletcher (D-TX)
- Michael McCaul (R-TX)
- Monica De La Cruz (R-TX)
- Nancy Mace (R-SC)
- Neal Dunn (R-FL)
- Ralph Norman (R-SC)
- Robert Wittman (R-VA)
- Thomas Kean (R-NJ)
AI-generated summary. Written by a language model from the bill's exact official Congress.gov CRS summary — not by a person, and not a substitute for the bill text. Vote counts, sponsors and dates above come from the official record, not from this summary. How we build this.
The Improving Care in Rural America Reauthorization Act of 2025 extends funding authority through fiscal year 2030 for three existing federal grant programs managed by the Health Resources and Services Administration that support rural health care providers. These programs fund the expansion of health care services in rural areas, the creation of integrated health care networks that bring together local health care organizations, and initiatives to improve service quality at small health care providers. Rural health care providers and related organizations that participate in these programs are the direct beneficiaries.
The grants would continue operating under new requirements that direct HRSA to ensure funds are used to address the health care needs of underserved populations in rural areas and to involve those populations in planning and implementing the funded activities. By extending authorization through 2030, the bill provides continuity for ongoing rural health care expansion efforts and establishes accountability measures to prioritize services for communities with limited access to care.
Key provisions
- Bill reauthorizes HRSA grant programs for rural health care service providers through fiscal year 2030.
- Reauthorizes grants specifically for expanding health care service delivery in rural areas through FY2030.
- Reauthorizes grants for developing integrated health care networks among rural health care organizations through FY2030.
- Reauthorizes grants for improving quality of services provided by small rural health care providers through FY2030.
- Requires HRSA to ensure grant funds address underserved populations' health needs and engage them in planning activities.
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