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CIVIC HERALD
HR 2493 · 119th Congress · HouseOther

Improving Care in Rural America Reauthorization Act of 2025

Provisional: our plain-language summary, pending review.

In plain language: This bill extends federal grant funding for rural healthcare outreach and clinic networks through 2030. To receive these grants, healthcare providers must specifically focus on the medical needs of underserved rural residents. Participating organizations must also involve local community members in planning and running the projects.

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Provisionalunreviewed: impact, issue tags, provisions, stakeholders, summary
People affected—Not determinable from the text provided; the bill targets rural underserved populations served by grant recipients but does not define or quantify the target population.
Fiscal magnitude—Not determinable from the text provided; Section 2(c) reauthorizes the grant programs for fiscal years 2026 through 2030 but does not state a specific dollar authorization amount.
Reach
provisional · pending review30rigor: heuristic llm
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Issues

What this bill touches.

Spending vs. restraint+15Government role in coverage+18Role of government+20

The sign shows the bill's direction on each issue (+ toward, − away); the number is its magnitude. Color never encodes good or bad, and never party.

Who it affects

Who it helps · who it burdens.

Provisional: our reading of who it affects, pending review.

Who it helps

  • rural underserved populationsSec. 2(a) and Sec. 2(b) require outreach and network grant funds to be used to meet their health care needs, improve their access to care, and include them in planning and running funded health projects.provisional
  • rural health care organizations and grant recipientsSec. 2(c) extends the authorization of federal funding for rural health care services outreach and network grant programs for five additional years, through fiscal year 2030.provisional

Who it burdens

  • rural health grant recipientsSec. 2(a)(4) and Sec. 2(b)(4) impose requirements on grant recipients to ensure funded projects directly address the needs of underserved groups and involve local community members in project design, development, and ongoing operations.provisional

Dollar-level funding (FEC sector totals) is coming in a later phase.

What it does

The provisions, in plain language.

Provisional: our reading of what the bill does, pending review.

  1. Requires federal rural health outreach grants to be used to meet the medical needs of underserved rural communities and involve local residents in designing and running the funded projects.

    Sec. 2(a)provisional

  2. Requires federal rural health network grants to increase care access for underserved rural populations and include local residents in planning, building, and operating the health networks.

    Sec. 2(b)provisional

  3. Extends funding authorization for federal rural health grant programs for five additional years, through fiscal year 2030.

    Sec. 2(c)provisional

How your members of Congress line up

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The record

How members voted on Improving Care in Rural America Reauthorization Act of 2025.

Recorded roll calls on this bill, most recent first. Open one to see each member's position.

  • House · Apr 21, 2026 · 2/3 YEA-AND-NAY

    On Motion to Suspend the Rules and Pass · Passed

    Source →

Timeline

How it moved.

Show all 18 actions
  1. Apr 22, 2026Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
  2. Apr 21, 2026Motion to reconsider laid on the table Agreed to without objection.
  3. Apr 21, 2026On 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, 2026Passed/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, 2026Considered as unfinished business. (text: CR H3025)
  6. Apr 21, 2026At 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, 2026DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
  8. Apr 21, 2026Considered under suspension of the rules. (consideration: CR H3021-3023)
  9. Apr 21, 2026Mrs. Harshbarger moved to suspend the rules and pass the bill.
  10. Oct 3, 2025Placed on the Union Calendar, Calendar No. 278.
  11. Oct 3, 2025Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
  12. Sep 17, 2025Ordered to be Reported by the Yeas and Nays: 49 - 0.
  13. Sep 17, 2025Committee Consideration and Mark-up Session Held
  14. Sep 10, 2025Forwarded by Subcommittee to Full Committee by Voice Vote.
  15. Sep 10, 2025Subcommittee Consideration and Mark-up Session Held
  16. Sep 10, 2025Referred to the Subcommittee on Health.
  17. Mar 31, 2025Referred to the House Committee on Energy and Commerce.
  18. Mar 31, 2025Introduced in House
  1. Apr 22, 2026Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
  2. Apr 21, 2026Motion to reconsider laid on the table Agreed to without objection.
  3. Apr 21, 2026On 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, 2026Passed/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. Oct 3, 2025Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
  6. Sep 17, 2025Ordered to be Reported by the Yeas and Nays: 49 - 0.
  7. Mar 31, 2025Introduced in House

The original text

Read it for yourself.

Read the original text →

Sources & provenance

Congress.govrefreshed 3 months ago

Cite this page

Civic Herald. “Improving Care in Rural America Reauthorization Act of 2025 (H.R. 2493, 119th Congress).” https://civicherald.app/bills/119-hr-2493. Congress.gov record as of Jul 17, 2026.

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