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H.R. 2493119th CongressHealth
Improving Care in Rural America Reauthorization Act of 2025
Sponsored by Rep. Earl L. "Buddy" Carter (R-GA) · 5 active : 1 Republican, 4 Democrats
Latest action: Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
Where it standsPassed House, now in the Senate9 senators score as swing votes
Passed House
- House: passedApr 21, 2026
- Senate: next
- President: not yet
Summary
, via Congress.govImproving 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.
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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.
How the projections held up
Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.
House
On Motion to Suspend the Rules and PassPassed406 yea, 4 nayApril 21, 2026 · Roll call 128
| BandBand before the vote | VotedVoted yea or nay | BrokeBroke with party | Share |
|---|---|---|---|
| Swing | 47 | 0 | 0% |
| Middle | 205 | 2 | 1% |
| Entrenched | 157 | 2 | 1% |
| All |
Committees and subjects
Committees
- House Committee on Energy and Commerce · HouseReported by · Markup by · Referred to
- Health · HouseReported by · Markup by · Referred to
Subjects
- Health care coverage and access
- Health programs administration and funding
- Rural conditions and development
How the Senate breaks down
- 9Swing 70–100
- 62Middle 30–70
- 29Entrenched 0–30
Members fall into . All 100 senators have enough data to score.
Key players in the Senate
Ranked by swing score, 0–100 · swing-v2, directional: only movement toward the other party counts, so members who sit further from the center than their party no longer score as swing votes.
Bars show each input from 0 to 100: ideology gap, scorecard gap, . is the seat’s partisan lean, and shows how much of the input data a score has.
Similar past votes, Senate
Earlier behind swing-v3’s inputLoading similar votes
Cosponsors
5 activeShow all 5 cosponsors
- Kim Schrier (D-WA-8)
- Michael A. Rulli (R-OH-6)
- Shomari Figures (D-AL-2)
- Jill N. Tokuda (D-HI-2)
- Eugene Simon Vindman (D-VA-7)
How the swing score works
Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.
Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.
Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.
Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.
Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.
Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.
