
Improving Care in Rural America Reauthorization Act of 2025
Official title: To reauthorize certain programs regarding rural health care.
What Do You Think?
How would you vote?
Vote to see the result.
What Happened in Congress?
April 21, 2026
- HousePassed 406 to 4
Where the Bill Stands
- Introduced, done
- Committee, done
- Floor Vote, done
- Outcome, current stage
How Congress Voted
How Congress Voted
How Congress VotedOfficial Record410members of the House voted
406 Yea, 4 Nay, 0 Present
20 Not Voting
- Yea
- Nay
- Present
- Not Voting
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 198 | 4 | 0 | 14 |
| Democrat | 207 | 0 | 0 | 6 |
| Independent | 1 | 0 | 0 | 0 |
| Total | 406 | 4 | 0 | 20 |
Republican
- Yea
- 198
- Nay
- 4
- Present
- 0
- Not Voting
- 14
Democrat
- Yea
- 207
- Nay
- 0
- Present
- 0
- Not Voting
- 6
Independent
- Yea
- 1
- Nay
- 0
- Present
- 0
- Not Voting
- 0
House roll call vote, April 21, 2026
How Each Member Voted
House: On Motion to Suspend the Rules and Pass
Yea 406
What This Bill Does
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.
Sponsors
Related Documents
Timeline
- SenateReceived in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
- House floor actionsMrs. Harshbarger moved to suspend the rules and pass the bill.
- Floor Vote
- Passed the House
- House floor actionsReported by the Committee on Energy and Commerce. H. Rept. 119-325.
- House committee actionsCommittee Consideration and Mark-up Session Held
- House committee actionsReferred to the Subcommittee on Health.
- Library of CongressIntroduced in House
- House floor actionsReferred to the House Committee on Energy and Commerce.
- Introduced
- Committee



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