Skip to main content
CivicGate

HR 2493
Passed House Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.

Improving Care in Rural America Reauthorization Act of 2025

Introduced Mar 31, 2025

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

Referred to
Energy and Commerce Committee
Policy area
Health
Issues
Healthcare
Legislative subjects (3)
Health care coverage and accessHealth programs administration and fundingRural conditions and development

Summary

This bill reauthorizes federal programs that provide rural health care services and support rural health care networks through 2030. It amends the Public Health Service Act to ensure that rural health outreach grants are used to meet the health care needs of rural underserved populations and that these populations are involved in developing and operating the projects. It also requires rural health network development grants to increase access to quality health care services for rural underserved populations and to involve them in planning and implementing the networks. The bill extends the authorization period for these programs from 2026 through 2030.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
5 cosponsors

Money behind the sponsor

Top reported contributors to Earl L. "Buddy" Carter’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • NULL $80,924
  • INTERNATIONAL AUTO LOGISTICS $7,500
  • SAVANNAH PILOTS ASSOC $6,600
  • HENNESSY AUTOMOBILE COMPANIES $6,600
  • SADOWSKI CO $6,600

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Earl L. "Buddy" Carter → · Outside spending →

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

How your representatives voted

Sign in to see how your own representatives voted on HR 2493.

Roll-call votes (1)

How the chamber voted on this bill — the outcome, the tally by party, and every member's recorded position. A factual record.

More bills on these subjects (8)

Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).

  • HR 2001 — Action for Dental Health Act (shares 3 subjects)
  • HR 5304 — Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 (shares 3 subjects)
  • S 2301 — Improving Care in Rural America Reauthorization Act of 2025 (shares 3 subjects)
  • HR 1448 — PEER Mental Health Act of 2025 (shares 3 subjects)
  • HR 1480 — Rural Health Innovation Act of 2025 (shares 3 subjects)
  • HR 1153 — Rural Physician Workforce Production Act of 2025 (shares 3 subjects)
  • HR 150 — People CARE Act (shares 3 subjects)
  • HR 191 — Inflation Reduction Act of 2025 (shares 3 subjects)

Text versions (4)
  • Placed on Calendar Senate · Apr 22, 2026
  • Engrossed in House · Apr 21, 2026
  • Reported in House · Oct 3, 2025
  • Introduced in House · Mar 31, 2025

Full text

AN ACT

To reauthorize certain programs regarding rural health care.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Improving Care in Rural America Reauthorization Act of 2025”.

SEC. 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 Grants.—Section 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 populations.—In 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 Grants.—Section 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 populations.—In 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) Reauthorization.—Section 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.

Attest:

Clerk. 119th CONGRESS

2d Session

H. R. 2493

AN ACT

To reauthorize certain programs regarding rural health care.

Comments

Comments

Loading comments…