Bill

H.R. 2493 (119th): Improving Care in Rural America Reauthorization Act of 2025

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.

house · Substantive

Rankings updated October 26, 2026, 11:44 AM ET · Votes through September 30, 2026
Exported candidates: 719 | Filings on file, by office: H: 5838 | P: 1467 | S: 1567. These counts include every filing for that office, so they are larger than the ranked list. One person can have more than one filing. Non-voting delegates are left out.

Recorded summary

The bill reauthorizes through FY2030 HRSA grant programs that fund health care service providers and related entities in rural areas. The grants cover expanding rural health care delivery, developing integrated health care networks, and improving quality at small rural providers. The bill also requires that grant funds for service expansion and network development be used to meet the needs of underserved populations and to engage those populations in planning and implementation.

grant_reauthorizationhealthcarerural_healthrural_policyunderserved_populations

Theological note: The bill concerns care for the sick and for underserved neighbors, which Scripture commends through general equity and mercy toward the vulnerable. Its moral weight depends mainly on prudent stewardship of federal spending and on whether the grants reach the people they name. It involves no direct moral evil and does not advance abortion, sexual corruption, or other named harms.

How this bill is scored

Recorded votes

Roll 128 · 21-Apr-2026 3:43 PM · On Motion to Suspend the Rules and Pass · Passed

Yea 406 · Nay 4 · Other 20

Yea

Nay

Other

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