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.
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
Bill introduced
Jake Auchincloss voted yea
Mark E. Amodei voted yea
Alma S. Adams voted yea
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
View official actionAt 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.
View official actionMotion to reconsider laid on the table Agreed to without objection.
View official actionPassed/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)
View official actionNo lobbying report on the 119th Congress cites this bill.
| Member | Party | Position | Date |
|---|---|---|---|
| Jake Auchincloss | D | yea | Apr 21, 2026 |
| Mark E. Amodei | R | yea | Apr 21, 2026 |
| Alma S. Adams | D | yea | Apr 21, 2026 |
| Pete Aguilar | D | yea | Apr 21, 2026 |
The lobbying table lists Senate LDA quarterly reports (LD-2) that cite this bill by number and cover a quarter of the 119th Congress. An LD-2 names a bill as “H.R. 1234” with no Congress, so a report on another Congress, which can only concern a different bill with the same number, is left out, even when it was filed after this Congress began. The amount is what the registrant reported for the whole filing, across every issue on it, not spending on this bill. Official actions and the bill summary come from Congress.gov, and votes from the roll-call record. This page no longer pairs the bill with members' stock trades: matching lobbying clients to traded companies by name, and trades to a bill by date, is not something the records establish.
DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
View official action| Rick W. Allen |
| R |
| yea |
| Apr 21, 2026 |
| Jodey C. Arrington | R | yea | Apr 21, 2026 |
| Mark Alford | R | yea | Apr 21, 2026 |
| Gabe Amo | D | yea | Apr 21, 2026 |
| Yassamin Ansari | D | yea | Apr 21, 2026 |
| Donald S. Beyer, Jr. | D | yea | Apr 21, 2026 |
| Mike Bost | R | yea | Apr 21, 2026 |
| Brendan F. Boyle | D | yea | Apr 21, 2026 |
| Don Bacon | R | yea | Apr 21, 2026 |
| Nanette Diaz Barragán | D | yea | Apr 21, 2026 |
| John R. Carter | R | yea | Apr 21, 2026 |
| Tom Cole | R | yea | Apr 21, 2026 |
| Wesley Bell | D | yea | Apr 21, 2026 |
| Sheri Biggs | R | yea | Apr 21, 2026 |
| Janelle S. Bynum | D | yea | Apr 21, 2026 |
| Robert P. Bresnahan, Jr. | R | yea | Apr 21, 2026 |
| Ken Calvert | R | yea | Apr 21, 2026 |
| James E. Clyburn | D | yea | Apr 21, 2026 |
| Ed Case | D | yea | Apr 21, 2026 |
| Jim Costa | D | yea | Apr 21, 2026 |
| Emanuel Cleaver | D | yea | Apr 21, 2026 |
| Henry Cuellar | D | yea | Apr 21, 2026 |
| Kathy Castor | D | yea | Apr 21, 2026 |
| Yvette D. Clarke | D | yea | Apr 21, 2026 |
| Steve Cohen | D | yea | Apr 21, 2026 |
| Joe Courtney | D | yea | Apr 21, 2026 |
| André Carson | D | yea | Apr 21, 2026 |
| Judy Chu | D | yea | Apr 21, 2026 |
| Eric A. "Rick" Crawford | R | yea | Apr 21, 2026 |
| Katherine M. Clark | D | yea | Apr 21, 2026 |
| Earl L. "Buddy" Carter | R | yea | Apr 21, 2026 |
| James Comer | R | yea | Apr 21, 2026 |
| J. Luis Correa | D | yea | Apr 21, 2026 |
| Salud O. Carbajal | D | yea | Apr 21, 2026 |
| Michael Cloud | R | yea | Apr 21, 2026 |
| Andrew S. Clyde | R | yea | Apr 21, 2026 |
| Dan Crenshaw | R | not_voting | Apr 21, 2026 |
| Jason Crow | D | yea | Apr 21, 2026 |
| Gilbert Ray Cisneros, Jr. | D | yea | Apr 21, 2026 |
| Troy A. Carter | D | yea | Apr 21, 2026 |
| Mike Carey | R | yea | Apr 21, 2026 |
| Mike Collins | R | yea | Apr 21, 2026 |
| Jasmine Crockett | D | yea | Apr 21, 2026 |
| Greg Casar | D | yea | Apr 21, 2026 |
| Elijah Crane | R | yea | Apr 21, 2026 |
| Juan Ciscomani | R | yea | Apr 21, 2026 |
| Herbert C. Conaway, Jr. | D | yea | Apr 21, 2026 |
| Danny K. Davis | D | yea | Apr 21, 2026 |
| Diana DeGette | D | yea | Apr 21, 2026 |
| Rosa L. DeLauro | D | yea | Apr 21, 2026 |
| Donald G. Davis | D | yea | Apr 21, 2026 |
| Lloyd Doggett | D | yea | Apr 21, 2026 |
| Sharice Davids | D | yea | Apr 21, 2026 |
| Madeleine Dean | D | yea | Apr 21, 2026 |
| Troy Downing | R | yea | Apr 21, 2026 |
| Maxine Dexter | D | yea | Apr 21, 2026 |
| Jake Ellzey | R | yea | Apr 21, 2026 |
| Mike Ezell | R | yea | Apr 21, 2026 |
| Chuck Edwards | R | yea | Apr 21, 2026 |
| Tom Emmer | R | yea | Apr 21, 2026 |
| Dwight Evans | D | yea | Apr 21, 2026 |
| Pat Fallon | R | yea | Apr 21, 2026 |
| Randy Feenstra | R | yea | Apr 21, 2026 |
| Virginia Foxx | R | yea | Apr 21, 2026 |
| Bill Foster | D | yea | Apr 21, 2026 |
| Charles J. "Chuck" Fleischmann | R | yea | Apr 21, 2026 |
| Lois Frankel | D | yea | Apr 21, 2026 |
| Brian K. Fitzpatrick | R | yea | Apr 21, 2026 |
| Lizzie Fletcher | D | not_voting | Apr 21, 2026 |
| Russ Fulcher | R | yea | Apr 21, 2026 |
| Sylvia R. Garcia | D | yea | Apr 21, 2026 |
| Lance Gooden | R | yea | Apr 21, 2026 |
| Michael Guest | R | yea | Apr 21, 2026 |
| Jared F. Golden | D | not_voting | Apr 21, 2026 |
| Carlos A. Gimenez | R | yea | Apr 21, 2026 |
| Andrew R. Garbarino | R | yea | Apr 21, 2026 |
| Adam Gray | D | yea | Apr 21, 2026 |
| Adelita S. Grijalva | D | yea | Apr 21, 2026 |
| Steny H. Hoyer | D | yea | Apr 21, 2026 |
| James A. Himes | D | yea | Apr 21, 2026 |
| Andy Harris | R | yea | Apr 21, 2026 |
| Bill Huizenga | R | yea | Apr 21, 2026 |
| Steven Horsford | D | yea | Apr 21, 2026 |
| Richard Hudson | R | yea | Apr 21, 2026 |
| Erin Houchin | R | yea | Apr 21, 2026 |
| Val T. Hoyle | D | yea | Apr 21, 2026 |
| Wesley Hunt | R | yea | Apr 21, 2026 |
| Harriet M. Hageman | R | yea | Apr 21, 2026 |
| Abraham J. Hamadeh | R | yea | Apr 21, 2026 |
| Mike Haridopolos | R | yea | Apr 21, 2026 |
| Jeff Hurd | R | yea | Apr 21, 2026 |
| John James | R | yea | Apr 21, 2026 |
| Jonathan L. Jackson | D | yea | Apr 21, 2026 |
| Julie Johnson | D | yea | Apr 21, 2026 |
| Brian Jack | R | yea | Apr 21, 2026 |
| Robert B. Aderholt | R | yea | Apr 21, 2026 |