Bills · 119th Congress · Health

Improving Care in Rural America Reauthorization Act of 2025

Where it stands

  1. Introduced3/31/25
  2. Passed HousePassed 4/21/26
  3. Senate
  4. President
  5. Law

Passed the House 406–4 on April 21, 2026 (Roll Call 128 →). Received in the Senate on April 22, 2026. No Senate action since.

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Roll calls on this bill

Votes on passage
HouseOn Motion to Suspend the Rules and Pass · 4/21/26Suspension of the rulesA fast-track House procedure, usually for measures expected to have broad support. Debate is limited to 40 minutes, no amendments can be offered, and it needs a two-thirds vote of members voting — not a simple majority. A yes vote passes the bill.Rules of the House, Rule XV, clause 1 ↗
Passed
  • Democratic207 Yea · 0 Nay · 6 Not voting
  • Republican198 Yea · 4 Nay · 14 Not voting
  • Independent / Other1 Yea · 0 Nay · 0 Not voting
Official summary (CRS)

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

Full text on congress.gov ↗
Sponsor
Rep. Earl L. "Buddy" Carter ( Republican · GA-1)
Cosponsors
5
Introduced
3/31/25
Policy area
Health

What happens next

The Senate must pass the same text, then it goes to the President.

If it isn't enacted by Jan 3, 2027, it expires when the 119th Congress ends.

All actions (18)
  1. 3/31/25Introduced in House
  2. 3/31/25Referred to the House Committee on Energy and Commerce.
  3. 9/10/25Referred to the Subcommittee on Health.
  4. 9/10/25Subcommittee Consideration and Mark-up Session Held
  5. 9/10/25Forwarded by Subcommittee to Full Committee by Voice Vote.
  6. 9/17/25Committee Consideration and Mark-up Session Held
  7. 9/17/25Ordered to be Reported by the Yeas and Nays: 49 - 0.
  8. 10/3/25Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
  9. 10/3/25Placed on the Union Calendar, Calendar No. 278.
  10. 4/21/26Mrs. Harshbarger moved to suspend the rules and pass the bill.
  11. 4/21/26Considered under suspension of the rules. (consideration: CR H3021-3023)
  12. 4/21/26DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
  13. 4/21/26At 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. 4/21/26Considered as unfinished business. (text: CR H3025)
  15. 4/21/26Passed/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. 4/21/26On 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. 4/21/26Motion to reconsider laid on the table Agreed to without objection.
  18. 4/22/26Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.