HR 2493 United States House · 119th Congress

Improving Care in Rural America Reauthorization Act of 2025

This bill reauthorizes three existing rural health care grant programs under the Public Health Service Act through 2030, extending funding from the previous 2021-2025 period. It requires all funded projects to directly serve rural underserved populations and involve these communities in planning, development, and operations. The programs support rural clinics, health networks, and quality improvement initiatives to expand access to care in underserved areas. Funding will now continue through 2030, maintaining critical support for rural health providers.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Oct 2025
House Passage
Apr 2026
Senate Passage
President
Introduced Mar 31, 2025 Last action Apr 22, 2026
Floor votes · House Apr 21, 2026

How they voted

4064
Passed · 20 other
Total votes 430
Apr 21, 2026
D Democratic213
207 Yea 6
97% Yea
I Independent1
1 Yea
100% Yea
R Republican216
198 Yea 4 Nay 14
91% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
5
Committee
6
Apr 21, 2026
Lower · Passed
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)
lower
Oct 3, 2025
Lower · Passed
Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
lower
Sep 17, 2025
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Sep 10, 2025
Lower · Passed
Forwarded by Subcommittee to Full Committee by Voice Vote.
lower
Sep 10, 2025
Lower · Passed
Subcommittee Consideration and Mark-up Session Held
lower
Sep 10, 2025
Committee
Referred to the Subcommittee on Health.
lower
Mar 31, 2025
Committee
Referred to the House Committee on Energy and Commerce.
lower
Mar 31, 2025
Introduced
Introduced in House
lower
1 primary · 5 co-sponsors

Sponsors