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Passed ChamberCongressional Bill

HR 2493

Introduced April 21, 2026

What This Means

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.

Vote Record

Yes: 95No: 1Not Voting: 4
Brad ShermanDistrict 32Representative
Yes
Adam GrayDistrict 13Representative
Yes
Adrian SmithDistrict 3Representative
Yes
Adriano EspaillatDistrict 13Representative
Yes
Steven HorsfordDistrict 4Representative
Yes
Gwen MooreDistrict 4Representative
Yes
Mark AlfordDistrict 4Representative
Yes
Glenn ThompsonDistrict 15Representative
Yes
Josh RileyDistrict 19Representative
Yes
Josh BrecheenDistrict 2Representative
No
Seth MagazinerDistrict 2Representative
Yes
Daniel WebsterDistrict 11Representative
Yes
Greg CasarDistrict 35Representative
Yes
Andy BiggsDistrict 5Representative
Not Voting
Glenn IveyDistrict 4Representative
Yes
Steve CohenDistrict 9Representative
Yes
Analilia MejiaDistrict 11Representative
Yes
Julia BrownleyDistrict 26Representative
Not Voting
Ron EstesDistrict 4Representative
Yes
Charles J. "Chuck" FleischmannDistrict 3Representative
Yes
Maggie GoodlanderDistrict 2Representative
Yes
Steny H. HoyerDistrict 5Representative
Yes
Mike KellyDistrict 16Representative
Yes
Celeste MaloyDistrict 2Representative
Yes
Kevin MullinDistrict 15Representative
Yes
Haley M. StevensDistrict 11Representative
Yes
Barry LoudermilkDistrict 11Representative
Yes
Kweisi MfumeDistrict 7Representative
Yes
Jefferson ShreveDistrict 6Representative
Yes
Pete AguilarDistrict 33Representative
Yes
Alma S. AdamsDistrict 12Representative
Yes
Robert B. AderholtDistrict 4Representative
Yes
Rick W. AllenDistrict 12Representative
Yes
Gabe AmoDistrict 1Representative
Yes
Mark E. AmodeiDistrict 2Representative
Yes
Jodey C. ArringtonDistrict 19Representative
Yes
Joyce BeattyDistrict 3Representative
Yes
Don BaconDistrict 2Representative
Yes
James R. BairdDistrict 4Representative
Yes
Troy BaldersonDistrict 12Representative
Yes
Becca BalintRepresentative
Yes
Andy BarrDistrict 6Representative
Yes
Nanette Diaz BarragánDistrict 44Representative
Yes
Tom BarrettDistrict 7Representative
Yes
Wesley BellDistrict 1Representative
Yes
Brian BabinDistrict 36Representative
Yes
Nicholas J. BegichRepresentative
Yes
Ami BeraDistrict 6Representative
Yes
Jack BergmanDistrict 1Representative
Yes
Donald S. BeyerDistrict 8Representative
Yes
Stephanie I. BiceDistrict 5Representative
Yes
Aaron BeanDistrict 4Representative
Yes
Yassamin AnsariDistrict 3Representative
Yes
Jake AuchinclossDistrict 4Representative
Yes
Gus M. BilirakisDistrict 12Representative
Yes
Sanford D. BishopDistrict 2Representative
Yes
Michael BaumgartnerDistrict 5Representative
Yes
Joaquin CastroDistrict 20Representative
Yes
Mike BostDistrict 12Representative
Yes
Brendan F. BoyleDistrict 2Representative
Yes
Robert P. BresnahanDistrict 8Representative
Yes
Shontel M. BrownDistrict 11Representative
Yes
Kat CammackDistrict 3Representative
Yes
Vern BuchananDistrict 16Representative
Yes
Janelle S. BynumDistrict 5Representative
Yes
Salud O. CarbajalDistrict 24Representative
Yes
André CarsonDistrict 7Representative
Yes
Earl L. "Buddy" CarterDistrict 1Representative
Yes
Troy A. CarterDistrict 2Representative
Yes
John R. CarterDistrict 31Representative
Yes
Nikki BudzinskiDistrict 13Representative
Yes
Lauren BoebertDistrict 4Representative
Yes
Mike CareyDistrict 15Representative
Yes
Suzanne BonamiciDistrict 1Representative
Yes
Ken CalvertDistrict 41Representative
Yes
James ComerDistrict 1Representative
Yes
Ed CaseDistrict 1Representative
Yes
Tom ColeDistrict 4Representative
Yes
Tim BurchettDistrict 2Representative
Yes
Gilbert Ray CisnerosDistrict 31Representative
Yes
Katherine M. ClarkDistrict 5Representative
Yes
Yvette D. ClarkeDistrict 9Representative
Yes
Kathy CastorDistrict 14Representative
Yes
Ben ClineDistrict 6Representative
Not Voting
James E. ClyburnDistrict 6Representative
Yes
Emanuel CleaverDistrict 5Representative
Yes
Judy ChuDistrict 28Representative
Yes
Andrew S. ClydeDistrict 9Representative
Yes
Mike CollinsDistrict 10Representative
Yes
Herbert C. ConawayDistrict 3Representative
Yes
J. Luis CorreaDistrict 46Representative
Yes
Joe CourtneyDistrict 2Representative
Yes
Angie CraigDistrict 2Representative
Yes
Michael CloudDistrict 27Representative
Yes
Juan CiscomaniDistrict 6Representative
Yes
Sean CastenDistrict 6Representative
Yes
Elijah CraneDistrict 2Representative
Yes
Eric A. "Rick" CrawfordDistrict 1Representative
Yes
Dan CrenshawDistrict 2Representative
Not Voting
John GaramendiDistrict 8Representative
Yes

Community Position

Community Comments

Comment Period

This proposal is not currently open for public comment.

Details

TypeCongressional Bill
IntroducedApril 21, 2026