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119th Congress · H.R. 2493 · Passed Origin

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.

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SubjectsHealth care coverage and accessHealth programs administration and fundingRural conditions and development
Sponsor
Earl L. Carter, R-GA-1
6 terms · @RepBuddyCarter
2432 Rayburn House Office Building Washington DC 20515-1001 · 202-225-5831
Cosponsors (5)
  • Shomari C. Figures, D-AL-2Original cosponsor
    Co-sponsored Mar 31, 2025 · 1 term · @repscfigures
  • Michael A. Rulli, R-OH-6Original cosponsor
    Co-sponsored Mar 31, 2025 · 2 terms
  • Kim Schrier, D-WA-8Original cosponsor
    Co-sponsored Mar 31, 2025 · 4 terms · @RepKimSchrier
  • Jill N. Tokuda, D-HI-2
    Co-sponsored May 15, 2025 · 2 terms · @RepJillTokuda
  • Eugene S. Vindman, D-VA-7
    Co-sponsored Sep 11, 2025 · 1 term · @RepVindman
Committees (1)
  • Energy and Commerce Committee
    House Standing · Activity Oct 3, 2025
Actions (20)
  1. Apr 22, 2026 · via Senate
    Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
  2. Apr 21, 2026 · via House floor actions
    Motion to reconsider laid on the table Agreed to without objection.
  3. Apr 21, 2026 · via House floor actions
    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)
  4. Apr 21, 2026 · via Library of Congress
    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 · via House floor actions
    Considered as unfinished business. (text: CR H3025)
  6. Apr 21, 2026 · via House floor actions
    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.
  7. Apr 21, 2026 · via House floor actions
    DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
  8. Apr 21, 2026 · via House floor actions
    Considered under suspension of the rules. (consideration: CR H3021-3023)
  9. Apr 21, 2026 · via House floor actions
    Mrs. Harshbarger moved to suspend the rules and pass the bill.
  10. Oct 3, 2025 · via House floor actions
    Placed on the Union Calendar, Calendar No. 278.
  11. Oct 3, 2025 · via House floor actions
    Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
  12. Oct 3, 2025 · via Library of Congress
    Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
  13. Sep 17, 2025 · via House committee actions
    Ordered to be Reported by the Yeas and Nays: 49 - 0.
  14. Sep 17, 2025 · via House committee actions
    Committee Consideration and Mark-up Session Held
  15. Sep 10, 2025 · via House committee actions
    Forwarded by Subcommittee to Full Committee by Voice Vote.
  16. Sep 10, 2025 · via House committee actions
    Subcommittee Consideration and Mark-up Session Held
  17. Sep 10, 2025 · via House committee actions
    Referred to the Subcommittee on Health.
  18. Mar 31, 2025 · via House floor actions
    Referred to the House Committee on Energy and Commerce.
  19. Mar 31, 2025 · via Library of Congress
    Introduced in House
  20. Mar 31, 2025 · via Library of Congress
    Introduced in House
IntroducedMar 31, 2025
Policy areaHealth
RelatedS. 2301

Constitutional authority cited

[Congressional Record Volume 171, Number 57 (Monday, March 31, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. CARTER of Georgia:H.R. 2493.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8 of the Constitution[Page H1375]
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