WHAT THE LAW DOINCongress, in plain words

H.R. 2493 · 119th Congress

Improving Care in Rural America Reauthorization Act of 2025

Passed HouseHealth
IntroducedMar 31, 2025
Passed HouseApr 21, 2026
Passed SenateNot yet
To PresidentNot yet
Became lawNot yet

Where it stands

Passed House. Latest step, Apr 22, 2026: Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377. The House passed it 406–4. All 4 of Iowa's representatives voted yes in the House. It would change 1 section of existing law.

How this bill changes the law

Sourced

H.R. 2493 would change 1 section of existing law. Read from the bill text as placed on the Senate calendar (Apr 22, 2026).

42 U.S.C. 254c Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs

  • (e) Rural health care services outreach grants added to · Sec. 2(a) · see the words
  • (f) Rural health network development grants added to · Sec. 2(b) · see the words
  • (j) Authorization of appropriations changed · Sec. 2(c) · see the words
What the words would change: every change, in place (3)

Today's wording of each part of the law, with what would be struck out and added. Each change also gives the bill's own instruction, word for word.

  1. 42 U.S.C. 254c(e)added (4)by H.R. 2493 Sec. 2(a)

    (4) Use of funds for rural underserved populations.— In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used, as appropriate—(A) to meet the health care needs of rural underserved populations in the local community or region to be served; and(B) for other activities to ensure the rural underserved populations in the local community or region to be served will be involved in the development and ongoing operations of the project.

    The bill says: Section 330A(e) of the Public Health Service Act (42 U.S.C. 254c(e)) is amended by adding at the end the following:

    Bill text · Current law (42 U.S.C. 254c)

  2. 42 U.S.C. 254c(f)added (4)by H.R. 2493 Sec. 2(b)

    (4) Use of funds for rural underserved populations.— In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used, as appropriate—(A) to increase access to quality health care services through integrated health care networks for the rural underserved populations in the local community or region to be served; and(B) for other activities to ensure the rural underserved populations in the local community or region to be served will benefit from and be involved in the planning, development, and ongoing implementation of the network.

    The bill says: Section 330A(f) of the Public Health Service Act (42 U.S.C. 254c(f)) is amended by adding at the end the following:

    Bill text · Current law (42 U.S.C. 254c)

  3. 42 U.S.C. 254c(j)changedby H.R. 2493 Sec. 2(c)

    (j) Authorization of appropriations. There are authorized to be appropriated to carry out this section $79,500,000 for each of fiscal years 2021 through 20252026 through 2030.

    The bill says: Section 330A(j) of the Public Health Service Act (42 U.S.C. 254c(j)) is amended by striking "2021 through 2025" and inserting "2026 through 2030".

    Bill text · Current law (42 U.S.C. 254c)

From the bill's official text on GovInfo and the U.S. Code, 2024 edition, which may not yet show changes made since.

What it does

Sourced

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.

Official summary by the Congressional Research Service (Introduced in House, Mar 31, 2025).

Our plain-language breakdown, with what it means for you and the case for and against, is written once a bill starts to move.

What has happened

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

Show key steps only

Recorded votes

Sourced
  1. Apr 21, 2026 · HousePassed 406–4
    Iowa: Randy Feenstra yes, Ashley Hinson yes, Mariannette Miller-Meeks yes, Zachary Nunn yes
    On Motion to Suspend the Rules and Pass · needed two-thirds
    R 198 yes, 4 noI 1 yes, 0 noD 207 yes, 0 noEach member · Record

Cosponsors

  • Shomari Figures D-AL-2
  • Michael A. Rulli R-OH-6
  • Kim Schrier D-WA-8
  • Jill N. Tokuda D-HI-2
  • Eugene Simon Vindman D-VA-7