US Congress · 119th Congress (2025-2026)

HR 2493Passed Origin Chamber

Improving Care in Rural America Reauthorization Act of 2025

Source of recordUS Congress · congress.govLast synced Jul 18, 2026

Chamber

House

Progress

Where this bill stands in the legislative process.

Introduced
Passed House
Passed Senate
To President
Became Law

Overview

This bill reauthorizes grant programs administered by the Health Resources and Services Administration (HRSA) that support healthcare services in rural areas. Specifically, it aims to expand access to care, develop integrated healthcare networks, and improve the quality of services provided by small healthcare providers in these communities. The bill emphasizes that grant funds must be used to meet the health needs of underserved rural populations and involve them in the planning and implementation of related projects.

Key provisions

Reauthorizes grant programs for rural health care services outreach.
Reauthorizes grant programs for rural health network development.
Reauthorizes grant programs for small health care provider quality improvement.
Requires HRSA to prioritize meeting the health needs of rural underserved populations when awarding grants.
Requires HRSA to engage rural underserved populations in the planning and implementation of grant-funded projects.
Extends the authorization period for the grant programs from 2021-2025 to 2026-2030.

Who is affected

Rural healthcare providers
Rural residents
Health Resources and Services Administration (HRSA)
Underserved populations in rural areas

Notable changes

Extends the authorization of existing grant programs through 2030.

Bill text

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Mar 31, 2025XMLView source

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Legislative history

20 recorded actions · showing the most recent 12

Oct 3, 2025House

Placed on the Union Calendar, Calendar No. 278.

Oct 3, 2025House

Reported by the Committee on Energy and Commerce. H. Rept. 119-325.

Oct 3, 2025

Reported by the Committee on Energy and Commerce. H. Rept. 119-325.

Apr 21, 2026House

Motion to reconsider laid on the table Agreed to without objection.

Apr 21, 2026House

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)

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)

Apr 21, 2026House

Considered as unfinished business. (text: CR H3025)

Apr 21, 2026House

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.

Apr 21, 2026House

DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.

Apr 21, 2026House

Considered under suspension of the rules. (consideration: CR H3021-3023)

Apr 21, 2026House

Mrs. Harshbarger moved to suspend the rules and pass the bill.

Apr 22, 2026Senate

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

Votes

Recorded roll calls and chamber actions on this bill.

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Nay

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Floor votes and chamber actions

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Recorded roll calls

Geography

Recorded positions across the country.

No public positions recorded for this legislation.

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Improving Care in Rural America Reauthorization Act of 2025

Progress