All Roll Calls
Yes: 406 • No: 4
119-hr-2493119th CongressWALLET
Improving Care in Rural America Reauthorization Act of 2025
Sponsored By: Representative Carter, Earl L. "Buddy" [R-GA-1]
Passed House
Summary
Targets rural grant dollars to underserved populations. This bill would reauthorize key rural health grant programs and require that funds be used to meet the needs of rural underserved communities and involve those communities in planning and operations. It would also push grant-funded efforts to expand access through integrated health care networks and extend the program authorization period through 2026–2030.
Show full summary
- Rural residents and underserved communities: Grants must be used, as appropriate, to meet local health care needs and to ensure community members are involved in developing and running projects. This aims to make funded projects more responsive to local needs.
- Health providers and networks: Two HRSA grant authorities — Rural Health Care Services Outreach Grants and Rural Health Network Development Grants — would be steered to increase access to quality care through integrated networks and to include underserved populations in planning and implementation.
- Program structure and timing: The bill replaces the 2021–2025 authorization window with a new 2026–2030 window and does not create new funding levels or new program authorities.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Network grants expand rural care access
If enacted, network grants would need to expand access to quality care through integrated networks for rural underserved people. They would also have to involve those residents in planning and ongoing work, and ensure they benefit. The grant authority would run through 2030. This would start upon enactment and adds no new funding.
Outreach grants for rural underserved
If enacted, outreach grants would need to meet local health needs of rural underserved people. They would also have to involve those residents in planning and daily operations. The grant authority would be extended through 2030. This would start upon enactment and adds no new funding.
Sponsors & CoSponsors
Sponsor
Carter, Earl L. "Buddy" [R-GA-1]
GA • R
Cosponsors
Rep. Figures, Shomari [D-AL-2]
AL • D
Sponsored 3/31/2025
Rep. Rulli, Michael A. [R-OH-6]
OH • R
Sponsored 3/31/2025
Rep. Schrier, Kim [D-WA-8]
WA • D
Sponsored 3/31/2025
Rep. Tokuda, Jill N. [D-HI-2]
HI • D
Sponsored 5/15/2025
Rep. Vindman, Eugene Simon [D-VA-7]
VA • D
Sponsored 9/11/2025
Roll Call Votes
house vote • 4/21/2026
On Motion to Suspend the Rules and Pass
Yes: 406 • No: 4