Improving Care in Rural America Reauthorization Act of 2025

Where it stands

1. Introduced Done · Mar 31, 2025
2. Committee Done · Mar 31, 2025
3. Passed House Done · Apr 21, 2026
4. Passed Senate Not yet
5. President Not yet
6. Law Not yet

From the official actions on Congress.gov.

Key points

What it changes

A plain-language summary isn't ready yet. The official summary below describes the bill.

Who it affects

A plain-language summary isn't ready yet. The official summary below describes the bill.

What it costs

The Congressional Budget Office published a cost estimate on Jan 5, 2026 (as reported by the House Committee on Energy and Commerce on October 3, 2025): H.R. 2493, Improving Care in Rural America Reauthorization Act of 2025 ↗

Where it stands

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377. (Apr 22, 2026)

What happens next

The Senate would need to pass it next.

Official summary

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.

Summary by the Congressional Research Service (Introduced in House version), via Congress.gov. These are proposed provisions, not enacted law.

Recorded votes

1. HOUSEFinal passageApr 21, 2026 · roll call 128

   On Motion to Suspend the Rules and Pass: Passed (406–4)

   This vote decided whether the bill passes this chamber.
   Votes by party

   How each party voted on roll call 128

   Party	Yes	No	Present	Did not vote	Share voting Yes
   Democratic	207	0	0	6
   Republican	198	4	0	14
   Independent	1	0	0	0

   Party totals from the official roll call.

   Map: how each state voted

   All voted YesSplitAll voted NoNo Yes or No votes

   Each state is shaded by the share of its U.S. House members who voted Yes, out of those who voted Yes or No. Colors show the vote, not party.

   Office of the Clerk, U.S. House ↗ — includes how every member voted

Vote types come from the official question text. How we label votes

Legislative history

1. Apr 22, 2026Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
2. Apr 21, 2026Motion to reconsider laid on the table Agreed to without objection.
3. Apr 21, 2026On 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)
4. Apr 21, 2026Passed/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)
5. Apr 21, 2026Considered as unfinished business. (text: CR H3025)
6. Apr 21, 2026At 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.
7. Apr 21, 2026DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
8. Apr 21, 2026Considered under suspension of the rules. (consideration: CR H3021-3023)
9. Apr 21, 2026Mrs. Harshbarger moved to suspend the rules and pass the bill.
10. Oct 3, 2025Placed on the Union Calendar, Calendar No. 278.
11. Oct 3, 2025Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
12. Oct 3, 2025Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
13. Sep 17, 2025Ordered to be Reported by the Yeas and Nays: 49 - 0.
14. Sep 17, 2025Committee Consideration and Mark-up Session Held
15. Sep 10, 2025Forwarded by Subcommittee to Full Committee by Voice Vote.
16. Sep 10, 2025Subcommittee Consideration and Mark-up Session Held
17. Sep 10, 2025Referred to the Subcommittee on Health.
18. Mar 31, 2025Referred to the House Committee on Energy and Commerce.
19. Mar 31, 2025Introduced in House
20. Mar 31, 2025Introduced in House