Both sides have signed this (Bill Ranking)
H.R. 2493 · 119th Congress (2025-2026)
6 members · Left 3 · Center 1 · Right 2 (Bill Ranking)
| Sponsor | Rep. Carter, Earl L. "Buddy" (R-GA) (Introduced 03/31/2025) |
|---|---|
| Sponsor Voting Record | Right · DW-NOMINATE +0.56 · measured from every roll-call vote this member has cast (voteview.com) (Sponsor Ranking) |
| Support |
LLLCLRR support across the spectrum: 6 members signed on (Bill Ranking) this bill: sponsor + current cosponsors, each once |
| Committees | House - Energy and Commerce Committee; House - Energy and Commerce Committee; House - Energy and Commerce Committee |
| Latest Action | 04/22/2026 Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377. |
| Roll Call Votes | 1 |
| Source | view on congress.gov → |
Introduced in House (03/31/2025)
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
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.
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 CONGRESS2d Session H. R. 2493
IN THE HOUSE OF REPRESENTATIVES AN ACT To reauthorize certain programs regarding rural health care.
1.Short titleThis 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 grantsSection 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 populationsIn 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 grantsSection 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 populationsIn 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)ReauthorizationSection 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.
119 HR 2493 IH: Improving Care in Rural America Reauthorization Act of 2025 U.S. House of Representatives 2025-03-31 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. I119th CONGRESS1st SessionH. R. 2493IN THE HOUSE OF REPRESENTATIVESMarch 31, 2025Mr. Carter of Georgia (for himself, Mr. Figures, Mr. Rulli, and Ms. Schrier) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo reauthorize certain programs regarding rural health care.
1.Short titleThis 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 grantsSection 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 populationsIn 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 grantsSection 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 populationsIn 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)ReauthorizationSection 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.
119 HR 2493 PCS: Improving Care in Rural America Reauthorization Act of 2025 U.S. House of Representatives 2026-04-22 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. IICalendar No. 377119th CONGRESS2d SessionH. R. 2493IN THE SENATE OF THE UNITED STATESApril 22, 2026Received; read twice and placed on the calendarAN ACTTo reauthorize certain programs regarding rural health care.1.Short titleThis 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 grantsSection 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 populationsIn 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 grantsSection 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 populationsIn 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)ReauthorizationSection 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.April 22, 2026Received; read twice and placed on the calendar
119 HR 2493 RH: Improving Care in Rural America Reauthorization Act of 2025 U.S. House of Representatives 2025-10-03 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. IBUnion Calendar No. 278119th CONGRESS1st SessionH. R. 2493[Report No. 119–325]IN THE HOUSE OF REPRESENTATIVESMarch 31, 2025Mr. Carter of Georgia (for himself, Mr. Figures, Mr. Rulli, and Ms. Schrier) introduced the following bill; which was referred to the Committee on Energy and CommerceOctober 3, 2025Additional sponsors: Ms. Tokuda and Mr. VindmanOctober 3, 2025Committed to the Committee of the Whole House on the State of the Union and ordered to be printedA BILLTo reauthorize certain programs regarding rural health care.1.Short titleThis 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 grantsSection 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 populationsIn 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 grantsSection 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 populationsIn 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)ReauthorizationSection 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.October 3, 2025Committed to the Committee of the Whole House on the State of the Union and ordered to be printed
The bill's own words, from our database (synced from the GPO BILLS XML); paragraph breaks added at the bill's section boundaries, nothing else changed.
| Date | Chamber | All Actions |
|---|---|---|
| 03/31/2025 | Library of Congress | Introduced in House |
| 03/31/2025 | Library of Congress | Introduced in House |
| 03/31/2025 | House floor actions | Referred to the House Committee on Energy and Commerce. |
| 09/10/2025 | House committee actions | Referred to the Subcommittee on Health. |
| 09/10/2025 | House committee actions | Subcommittee Consideration and Mark-up Session Held |
| 09/10/2025 | House committee actions | Forwarded by Subcommittee to Full Committee by Voice Vote. |
| 09/17/2025 | House committee actions | Committee Consideration and Mark-up Session Held |
| 09/17/2025 | House committee actions | Ordered to be Reported by the Yeas and Nays: 49 - 0. |
| 10/03/2025 | Library of Congress | Reported by the Committee on Energy and Commerce. H. Rept. 119-325. |
| 10/03/2025 | House floor actions | Reported by the Committee on Energy and Commerce. H. Rept. 119-325. |
| 10/03/2025 | House floor actions | Placed on the Union Calendar, Calendar No. 278. |
| 04/21/2026 | House floor actions | Mrs. Harshbarger moved to suspend the rules and pass the bill. |
| 04/21/2026 | House floor actions | Considered under suspension of the rules. (consideration: CR H3021-3023) |
| 04/21/2026 | House floor actions | DEBATE - The House proceeded with forty minutes of debate on H.R. 2493. |
| 04/21/2026 | House floor actions | 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. |
| 04/21/2026 | House floor actions | Considered as unfinished business. (text: CR H3025) |
| 04/21/2026 | Library of Congress | 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) |
| 04/21/2026 | House floor actions | 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) |
| 04/21/2026 | House floor actions | Motion to reconsider laid on the table Agreed to without objection. |
| 04/22/2026 | Senate | Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377. |
| Title Type | Title |
|---|---|
| Display Title | Improving Care in Rural America Reauthorization Act of 2025 |
| Short Title(s) from PCS (Placed on Senate Calendar) bill text | Improving Care in Rural America Reauthorization Act of 2025 |
| Short Title(s) as Passed House | Improving Care in Rural America Reauthorization Act of 2025 |
| Official Titles from EH (Engrossed in House) bill text | To reauthorize certain programs regarding rural health care. |
| Short Title(s) as Reported to House | Improving Care in Rural America Reauthorization Act of 2025 |
| Short Title(s) as Introduced | Improving Care in Rural America Reauthorization Act of 2025 |
| Official Title as Introduced | To reauthorize certain programs regarding rural health care. |
There are no amendments to this bill.
* = Original cosponsor
| Committee | Activity |
|---|---|
| House - Energy and Commerce Committee | 10/03/2025 Reported By |
| House - Energy and Commerce Committee | 09/17/2025 Markup By |
| House - Energy and Commerce Committee | 03/31/2025 Referred To |
Policy Area: Health
All data on this page comes from our own database (legislation.congress_* tables), synced daily from the GPO govinfo BILLSTATUS and BILLS collections. Formatted after congress.gov; nothing is generated. Member placement is their DW-NOMINATE score (voteview.com, Lewis et al.) - a measurement of roll-call voting behavior, not our judgement. Buckets: Left below −0.50 · Lean Left to −0.25 · Center to +0.25 · Lean Right to +0.50 · Right above +0.50. The bill's Support meter aggregates the people who signed the bill - sponsor and current cosponsors, each counted once - nothing else.