H.R. 2493Improving Care in Rural America Reauthorization Act of 2025

1 recorded actionWhat the measure does Read on Congress.gov

Sponsor: Earl L. "Buddy" Carter [R-GA-01]
Cosponsors: 5 · 4 Democrats · 1 Republican
Policy area: Health
Committee: Energy and Commerce Committee
Latest action: Apr 22, 2026 · Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

IntroducedMar 31, 2025
Passed the HouseApr 21, 2026
Passed the SenateNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

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.

Written by the nonpartisan Congressional Research Service, describing H.R. 2493 as introduced in House on Mar 31, 2025. It is not the text of the measure; a later amendment may have changed what it does.

How every member votedHouse roll call 128

House Apr 21, 2026

On Motion to Suspend the Rules and Pass

Improving Care in Rural America Reauthorization Act

Passed · Two-thirds required

406 Yea 4 Nay 20 not voting

Crossed both parties 4 of 410 voting members broke with their own party: 4 Republicans.

Open the official roll call

How the chamber split

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DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present

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All members430 members

Democratic213 members

Independent1 member

Republican216 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors5 · 4 Democrats · 1 Republican

Signing on is not a vote: a member can cosponsor H.R. 2493 and vote against it. 3 signed when it was filed.

DShomari Figures [D-AL-02]Original2026 profile

RMichael A. Rulli [R-OH-06]Original2026 profile

DKim Schrier [D-WA-08]Original2026 profile

DJill N. Tokuda [D-HI-02]Joined May 15, 20252026 profile

DEugene Simon Vindman [D-VA-07]Joined Sep 11, 20252026 profile

Loading the public record

H.R. 2493Improving Care in Rural America Reauthorization Act of 2025

What the measure doesCRS summary

How every member votedHouse roll call 128

On Motion to Suspend the Rules and Pass

How the chamber split

Cosponsors5 · 4 Democrats · 1 Republican

H.R. 2493Improving Care in Rural America Reauthorization Act of 2025

What the measure doesCRS summary

How every member votedHouse roll call 128

On Motion to Suspend the Rules and Pass

How the chamber split

Cosponsors5 · 4 Democrats · 1 Republican

Who lobbied on H.R. 24936 organizations

Who lobbied on H.R. 24936 organizations