HR 2493passed_one119th Congress

Improving Care in Rural America Reauthorization Act of 2025

Introduced Mar 31, 2025House billPolicy area: HealthLast action Apr 21, 2026Sponsor: Earl L. "Buddy" Carter(R-GA)

healthcareHealth

Energy and Commerce CommitteeHealth Subcommittee

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Official summaryUpdated Apr 22, 2026

What the bill does

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.

Latest official action

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

Lobbying Filings

$39.1M

Total Lobbying Spend

Suspicious Trades

Members Involved

Timeline

Apr 21, 2024lobbying

Lobbying filed by DOMTAR CORPORATION FKA PAPER EXCELLENCE HOLDINGS CORPORATION FKA DOMTAR

Jul 9, 2024lobbying

Lobbying filed by DOMTAR CORPORATION FKA PAPER EXCELLENCE HOLDINGS CORPORATION FKA DOMTAR

Oct 19, 2024lobbying

Lobbying filed by HARDWOOD FEDERATION

Oct 22, 2024lobbying

Lobbying filed by DOMTAR CORPORATION FKA PAPER EXCELLENCE HOLDINGS CORPORATION FKA DOMTAR

Jan 20, 2025lobbying

Lobbying filed by DOMTAR CORPORATION FKA PAPER EXCELLENCE HOLDINGS CORPORATION FKA DOMTAR

Official Congressional Actions

Apr 22, 2026Calendars

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

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Apr 21, 2026Floor

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)

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Apr 21, 2026Floor

Passed/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)

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Apr 21, 2026Floor

Considered as unfinished business. (text: CR H3025)

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Lobbying Activity

Registrant	Client	Amount	Filed	Period	Issues
ORION ADVOCATES	DOMTAR CORPORATION FKA PAPER EXCELLENCE HOLDINGS CORPORATION FKA DOMTAR	$5.0M	Jan 20, 2025	2024Q4	MANENVPOS
ORION ADVOCATES	DOMTAR CORPORATION FKA PAPER EXCELLENCE HOLDINGS CORPORATION FKA DOMTAR	$5.0M	Oct 22, 2024	2024Q3	MANENVPOS

Suspicious Trading Activity

Congress members who traded stocks in companies connected to lobbying on this bill, within 90 days of its introduction date.

Member	Party	Ticker	Company	Trade	Date	Amount	Timing	Lobbying Client	Conflict
Robert P. Bresnahan, Jr.	R	K	K	Buy	Apr 8, 2025	$1,001 - $15,000	8d after	DOMTAR CORPORATION FKA PAPER EXCELLENCE HOLDINGS CORPORATION FKA DOMTAR	37%
Gilbert Ray Cisneros, Jr.	D

Conflict Summary

3 trades by 2 members of Congress in companies connected to lobbying on HR 2493. The average conflict score is 35%.

Robert P. Bresnahan, Jr. (1 trade)Gilbert Ray Cisneros, Jr. (2 trades)

Votes on 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

Methodology: Bill-Lobbying-Trade Connection

CapitolExposed identifies the "bill-lobbying-trade pipeline" by: (1) finding lobbying filings (LD-2) that specifically mention this bill, (2) matching lobbying clients to publicly traded companies, and (3) finding stock trades by members of Congress in those companies within 90 days of the bill's introduction date. Trades made before the bill was introduced are highlighted in red, as they may indicate advance knowledge. This analysis surfaces correlations worthy of scrutiny; it does not prove wrongdoing.