HR2493119th CongressWALLET

Improving Care in Rural America Reauthorization Act of 2025

Sponsored By: Representative Carter, Earl L. "Buddy" [R-GA-1]

Passed House

Summary

Prioritizes rural underserved communities by tying federal rural health grants to local needs and active community involvement. The bill would reauthorize and amend two existing grant programs to push money toward integrated networks and community-driven projects.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Extend rural health grants through 2030

If enacted, this would keep key rural health grant programs authorized for 2026 through 2030. It would replace the current window of 2021 through 2025. It would not appropriate new money or change who can get grants. It would let these programs keep operating and seek future yearly funding.

Focus rural health grants on underserved

If enacted, the Director would need to steer Rural Health Care Services Outreach and Rural Health Network Development grants to meet local rural underserved health needs. Grants would need to involve those communities in planning and running the projects. Network grants would also aim to increase access through integrated provider networks. This would start upon enactment and would not set funding amounts.

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

  • Schrier

    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

All Roll Calls

Yes: 406 • No: 4

house vote • 4/21/2026

On Motion to Suspend the Rules and Pass

Yes: 406 • No: 4

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