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HR2493: Improving Care in Rural America Reauthorization Act of 2025
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HR2493
Improving Care in Rural America Reauthorization Act of 2025

1
Roll Calls
404
Yea (latest vote)
4
Nay (latest vote)
House
2026-04-21 – 2026-04-21

About HR2493

Improving Care in Rural America Reauthorization Act of 2025

Policy Area: Health

Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA)

Latest Action (2026-04-22): Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

Summary

Improving Care in Rural America Reauthorization Act of 2025This 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. 

Subjects: Health care coverage and access, Health programs administration and funding, Rural conditions and development

Who Voted How on HR2493

Filter by Yea, Nay, or Absent

Vote Breakdown — HR2493

How members voted on HR2493. 428 total positions across all roll calls for this bill.

Member Date Question Vote Result
Robert B. Aderholt (R-Alabama) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Jake Auchincloss (D-Massachusetts) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Mark E. Amodei (R-Nevada) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Alma S. Adams (D-North Carolina) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Pete Aguilar (D-California) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Rick W. Allen (R-Georgia) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Jodey C. Arrington (R-Texas) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Mark Alford (R-Missouri) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Gabe Amo (D-Rhode Island) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Yassamin Ansari (D-Arizona) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Sanford D. Bishop (D-Georgia) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Cliff Bentz (R-Oregon) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Stephanie I. Bice (R-Oklahoma) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Lauren Boebert (R-Colorado) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Gus M. Bilirakis (R-Florida) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Vern Buchanan (R-Florida) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Suzanne Bonamici (D-Oregon) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Joyce Beatty (D-Ohio) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Andy Barr (R-Kentucky) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Julia Brownley (D-California) 2026-04-21 2/3 Yea-And-Nay Not Voting Passed
Ami Bera (D-California) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Brian Babin (R-Texas) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Donald S. Beyer (D-Virginia) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Mike Bost (R-Illinois) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Brendan F. Boyle (D-Pennsylvania) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Don Bacon (R-Nebraska) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Nanette Diaz Barragán (D-California) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Jack Bergman (R-Michigan) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Andy Biggs (R-Arizona) 2026-04-21 2/3 Yea-And-Nay Not Voting Passed
Troy Balderson (R-Ohio) 2026-04-21 2/3 Yea-And-Nay Yea Passed
James R. Baird (R-Indiana) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Tim Burchett (R-Tennessee) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Shontel M. Brown (D-Ohio) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Aaron Bean (R-Florida) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Nikki Budzinski (D-Illinois) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Eric Burlison (R-Missouri) 2026-04-21 2/3 Yea-And-Nay Nay Passed
Josh Brecheen (R-Oklahoma) 2026-04-21 2/3 Yea-And-Nay Nay Passed
Becca Balint (D-Vermont) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Tom Barrett (R-Michigan) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Michael Baumgartner (R-Washington) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Nicholas J. Begich (R-Alaska) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Wesley Bell (D-Missouri) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Sheri Biggs (R-South Carolina) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Janelle S. Bynum (D-Oregon) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Robert P. Bresnahan (R-Pennsylvania) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Ken Calvert (R-California) 2026-04-21 2/3 Yea-And-Nay Yea Passed
James E. Clyburn (D-South Carolina) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Kat Cammack (R-Florida) 2026-04-21 2/3 Yea-And-Nay Yea Passed
John R. Carter (R-Texas) 2026-04-21 2/3 Yea-And-Nay Yea Passed
Tom Cole (R-Oklahoma) 2026-04-21 2/3 Yea-And-Nay Yea Passed

Showing 50 of 428 positions. JavaScript-enabled view supports filter by Yea/Nay/Absent and pagination.

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Frequently Asked

What is HR2493?

HR2493 is the Improving Care in Rural America Reauthorization Act of 2025, introduced in the House of the 119th U.S. Congress by Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA). Improving Care in Rural America Reauthorization Act of 2025This 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. 

Who sponsored HR2493?

HR2493 was sponsored by Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA). Cosponsors and roll-call positions are listed on this page.

What is the current status of HR2493?

As of 2026-04-22, HR2493 Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377..

How did Congress vote on HR2493?

HR2493 has had 1 roll-call vote on record. The most recent: 2026-04-21 — 2/3 Yea-And-Nay (Passed).

What policy area does HR2493 cover?

HR2493 is categorized under "Health." Browse other bills in this area at /topic-health/.

Where can I see all member positions on HR2493?

Each member’s vote is shown on this page, with party affiliation, state, and the official vote question. Click any member to see their full voting record.