# 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.

## How this bill is scored

Tier: no Tier 1 record. A bill with no record cannot newly become Tier 1.
Lane: grant_reauthorization. Category: not stored. Lane tag: not stored.
Lane: healthcare. Category: not stored. Lane tag: not stored.
Lane: rural_health. Category: not stored. Lane tag: not stored.
Lane: rural_policy. Category: not stored. Lane tag: not stored.
Lane: underserved_populations. Category: not stored. Lane tag: not stored.
Tier 1 sign-off: no record. A bill with no record cannot newly become Tier 1.
Stored polarity: mixed. Only tags the rules mark scoreable on a mixed bill are scored. A yea can draw a penalty or a credit according to the tag. A nay on a tag scored as good can draw a penalty.
Roll 128: On Motion to Suspend the Rules and Pass. Vote type: final_passage.
Polarity rationale: Reviewed enrichment (llm_import) polarity: The bill funds ordinary and commendable rural health access and targets underserved populations. Its main concerns are prudential, namely the scale and effectiveness of federal spending, and it names no direct moral harm. This fits a mixed or prudential classification rather than good or evil.
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.

## Recorded votes

Roll 128: On Motion to Suspend the Rules and Pass. Yea 406 · Nay 4 · Other 20.

HTML: https://justmeasure.org/bill/hr-2493-119/