Improving Care in Rural America Reauthorization Act of 2025

What this measure contains

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 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.

The latest Congressional Research Service summary in the bill's GovInfo status record, or its official title when no summary has been published. Amendments can change the wording; read a specific version for its complete provisions.

Read the latest imported text

Bill text and versions

Drafts can change as a measure moves through Congress. Check the version attached to a recorded vote.

• Placed on Calendar Senate · Official document ↗· Apr 22, 2026
• Engrossed in House · Official document ↗· Apr 21, 2026
• Reported in House · Official document ↗· Oct 3, 2025
• Introduced in House · Official document ↗· Mar 31, 2025

Legislative path

Each stage below is a House or Senate floor decision: every recorded roll call on this measure, plus passage by voice vote or unanimous consent, which records no individual votes. Each stage shows the latest version published before that day; the chamber may have voted on an amended text. Roll calls name every member. A member's row follows their votes, and a highlighted vote marks where they voted for advancing the measure at one stage and against it at another (passage, cloture, motions to proceed, agreeing to the other chamber's version). Amendments and motions such as recommit or table don't count as a change, because an aye there isn't a vote for the measure.

1. Introduced in House
2. Reported in House
3. Engrossed in Houseby House suspend rules and pass
4. Placed on Calendar Senate

Companion measure: S. 2301. A companion follows its own path; its votes are not combined with this one.

Decision stages

1. Apr 21, 2026 · House

   House suspend rules and pass on Reported in House: Passed, reported as Engrossed in House

   406 aye · 4 no · 20 not voting · Source roll call

House members along the path

Aye yea or aye · No nay or no · Present · NV not voting · Changed reversed on advancing the measure

Members are identified by the Bioguide ID in each roll call, not by name. Not voting is not a no vote; a blank cell means the member wasn't listed for that roll call.Congress.gov actions ↗

Your lawmakers and participating residents.

Match an address to see your members of Congress' recorded votes on this bill. This address is used for matching and is not saved with a pilot response.

Legislative history

1. Mar 31, 2025

   Introduced in House

2. Mar 31, 2025

   Referred to the House Committee on Energy and Commerce.

3. Sep 10, 2025

   Referred to the Subcommittee on Health.

4. Sep 10, 2025

   Subcommittee Consideration and Mark-up Session Held

5. Sep 10, 2025

   Forwarded by Subcommittee to Full Committee by Voice Vote.

6. Sep 17, 2025

   Committee Consideration and Mark-up Session Held

7. Sep 17, 2025

   Ordered to be Reported by the Yeas and Nays: 49 - 0.

8. Oct 3, 2025

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

9. Oct 3, 2025

   Placed on the Union Calendar, Calendar No. 278.

10. Apr 21, 2026

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

11. Apr 21, 2026

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

12. Apr 21, 2026

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

13. 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.

14. Apr 21, 2026

    Considered as unfinished business. (text: CR H3025)

15. 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)

16. 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)

17. Apr 21, 2026

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

18. Apr 22, 2026

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

Bill sponsors